Organization
ELLISON'S FAMILY CARE HOME3
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CLARISSA B ELLISON (ADMINISTRATOR)
(336) 349-2220
Entity
Organization
Contact information
Practice address
31 ALEX POTEAT RD, REIDSVILLE, NC 27320-9741
(336) 634-1332
(336) 349-2273
Mailing address
PO BOX 1316, REIDSVILLE, NC 27323-1316
(336) 349-2220
(336) 349-2273
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
FCL-017-029
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7803270
—
NC
Enumeration date
04/16/2007
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us