Individual
MR. TERRELL TYRAY ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
21408 INKSTER RD, SOUTHFIELD, MI 48033-5026
(947) 224-0379
(947) 941-2603
Mailing address
21408 INKSTER RD, SOUTHFIELD, MI 48033-5026
(949) 472-2403
(947) 941-2603
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
09/16/2021
Last updated
09/16/2021
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