Organization
THE ELLISON NURSING GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALENCIA NICHOLAS (HR)
(267) 513-1722
Entity
Organization
Contact information
Practice address
500 OFFICE CENTER DR, SUITE 400, FORT WASHINGTON, PA 19034-3219
(267) 513-1722
Mailing address
500 OFFICE CENTER DR, SUITE 400, FORT WASHINGTON, PA 19034-3219
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN293180
PA
Other
Enumeration date
01/23/2013
Last updated
01/23/2013
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