Organization
ELLISON HOME CARE COMPANION AGENCY LLC
Active
Other names
Ellison Home Care Companion LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHIRLEY LEE ELLISON LICENSE (PRESIDENT)
(631) 885-4986
Entity
Organization
Contact information
Practice address
2851 SW 142ND LN, OCALA, FL 34473-2575
(352) 615-7820
(631) 513-4699
Mailing address
147 W ORANGE ST, BRENTWOOD, NY 11717-8109
(631) 885-4986
(631) 513-4699
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
234910
FL
Other
Enumeration date
07/11/2017
Last updated
07/11/2017
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