Individual
JAMAAL ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2644 N 6TH ST, HARRISBURG, PA 17110-2604
(205) 937-7049
Mailing address
205 RENO AVE, NEW CUMBERLAND, PA 17070-2048
(205) 937-7049
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
85043601
PA
Other
Enumeration date
03/22/2025
Last updated
03/22/2025
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