Organization
ELLIE'S ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLONIA EBANKS (CEO)
(954) 604-5418
Entity
Organization
Contact information
Practice address
1840 SW JANETTE AVE, PORT ST LUCIE, FL 34953-1001
(954) 604-5418
Mailing address
1840 SW JANETTE AVE, PORT ST LUCIE, FL 34953-1001
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
03/27/2023
Last updated
03/27/2023
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