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Individual

CHASITY ELLIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1272 WENTWORTH COVE CT, WINDER, GA 30680-5218
(404) 710-4397
Mailing address
1272 WENTWORTH COVE CT, WINDER, GA 30680-5218
(404) 710-4397

Taxonomy

Speciality
Code
Description
License number
State
174200000X
Meals Provider
253Z00000X
In Home Supportive Care Agency
Primary
376K00000X
Nurse's Aide

Other

Enumeration date
03/26/2025
Last updated
03/26/2025
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