Organization
ELLIS HOME CARE AGENCY, CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETHANY ELLIS APRN (OWNER)
(954) 886-2911
Entity
Organization
Contact information
Practice address
1001 N FEDERAL HWY STE 200, HALLANDALE BEACH, FL 33009-2416
(954) 886-2911
Mailing address
1001 N FEDERAL HWY STE 200, HALLANDALE BEACH, FL 33009-2416
(954) 886-2911
Taxonomy
Speciality
Code
Description
License number
State
363LC1500X
Community Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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