Organization
ELLIS SENIOR CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DALE RAY ELLIS (PRESIDENT/ OWNER)
(540) 293-8024
Entity
Organization
Contact information
Practice address
316 E WASHINGTON AVE, VINTON, VA 24179-4516
(540) 293-7299
Mailing address
PO BOX 13704, ROANOKE, VA 24036-3704
(540) 293-7299
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/22/2020
Last updated
04/22/2020
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