Organization
ELLEMSENTERPRISES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LISA MONICA SMITH BS (OWNER/OPERATOR)
(804) 640-2101
Entity
Organization
Contact information
Practice address
2202 HIGH BUSH CIR, GLEN ALLEN, VA 23060-2240
(804) 640-2101
(877) 879-6336
Mailing address
PO BOX 3051, RICHMOND, VA 23228-9701
(804) 640-2101
(877) 879-6336
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
06/20/2018
Last updated
06/20/2018
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