Organization
ELLIE HOME CARING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DESTINY HOOPER (DIRECTOR OF OPERATIONS)
(937) 306-8136
Entity
Organization
Contact information
Practice address
157 W FRANKLIN ST, CENTERVILLE, OH 45459-4701
(937) 306-8136
Mailing address
PO BOX 751111, DAYTON, OH 45475-1111
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/11/2020
Last updated
05/11/2020
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