Organization
ELLIE'S PLACE FCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLIFFORD LEWIS LANEY (MEMBER MANAGER)
(828) 361-1422
Entity
Organization
Contact information
Practice address
1310 HEBRON RD, HENDERSONVILLE, NC 28739-5181
(828) 361-1422
(828) 434-9360
Mailing address
1310 HEBRON RD, HENDERSONVILLE, NC 28739-5181
(828) 361-1422
(828) 434-9360
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
05/13/2024
Last updated
05/13/2024
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