# LOLITA ELLIS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1750752622
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 372600000X | Adult Companion | — | NULL | — |
| 3747A0650X | Attendant Care Provider | 166844 | FL | — |
| 374U00000X | Home Health Aide | 166844 | FL | — |
| 376J00000X | Homemaker | 166844 | FL | — |
| 376K00000X | Nurse's Aide | 166844 | FL | Yes |

## Other

- **Enumeration date:** 10/16/2015
- **Last updated:** 06/27/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 607114 | ATN | FL |