MR. Jimmy Lee Ellis

NPI #1376013326 in Avondale, Arizona

Provider Information

NPI Number: 1376013326
Entity Type: Individual
Name: MR. Jimmy Lee Ellis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Adult Companion
Enumeration Date: Dec 3, 2018
Last Updated: Jan 5, 2019

Practice Location

Address: 105 N LINKS DR APT 1061
City: Avondale
State: Arizona
ZIP Code: 85323-3046
Phone: (480) 487-8480

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health Aide	374U00000X
Homemaker	376J00000X
Adult Companion	372600000X	Primary

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Organizations

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