Ellis Family Id Services Inc.

NPI #1134825151 in Maryville, Tennessee

Provider Information

NPI Number
1134825151
Entity Type
Organization
Organization Name
Ellis Family Id Services Inc.
Primary Specialty
In Home Supportive Care
Enumeration Date
Feb 1, 2023
Last Updated
Apr 16, 2025

Practice Location

Address
3925 POPLAR GROVE RD
ZIP Code
37804-4701
Phone
(865) 724-7208

Authorized Official

Name
WANDA K. ELLIS
Title
OWNER/TREASURE
Phone
(865) 724-6748

Specialties & Taxonomy Codes

Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
In Home Supportive Care

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