# ELLIE'S PLACE FCH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366290421
- **Authorized official:** CLIFFORD LEWIS LANEY (MEMBER MANAGER)
- **Authorized official phone:** (828) 361-1422

## Contact information

- **Practice address:** 1310 HEBRON RD, HENDERSONVILLE, NC 28739-5181
- **Practice address phone:** (828) 361-1422
- **Practice address fax:** (828) 434-9360
- **Mailing address:** 1310 HEBRON RD, HENDERSONVILLE, NC 28739-5181
- **Mailing address phone:** (828) 361-1422
- **Mailing address fax:** (828) 434-9360

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 05/13/2024
- **Last updated:** 05/13/2024