Organization
ELLIS HOME OXYGEN & MEDICAL EQUIPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAMELA W ELLIS RN/WHNP-BC (ASSISTANT TO THE PRESIDENT)
(276) 619-0060
Entity
Organization
Contact information
Practice address
329A CUMMINGS ST, ABINGDON, VA 24210-3207
(276) 619-0060
(276) 619-0061
Mailing address
329A CUMMINGS ST, ABINGDON, VA 24210-3207
(276) 619-0060
(276) 619-0061
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0206009641
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009135618
—
VA
Enumeration date
12/02/2011
Last updated
12/02/2011
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