Organization
ELLIS ANGELS HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DURIYYAH ELLIS (PRESIDENT/CEO)
(484) 374-0132
Entity
Organization
Contact information
Practice address
6714 LOWER MACUNGIE RD, APT K-6, TREXLERTOWN, PA 18087-9701
(484) 374-0132
Mailing address
6714 LOWER MACUNGIE RD, APT K-6, TREXLERTOWN, PA 18087-9701
(484) 374-0132
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
32053601
PA
Other
Enumeration date
12/22/2016
Last updated
12/22/2016
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