Ellison's Family Care Home #2
NPI #1639394539 in Reidsville, North Carolina
Provider Information
- NPI Number
- 1639394539
- Entity Type
- Organization
- Organization Name
- Ellison's Family Care Home #2
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Apr 16, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1116 LAWSONVILLE AVE
- City
- Reidsville
- State
- North Carolina
- ZIP Code
- 27320-4112
- Phone
- (336) 634-0004
Authorized Official
- Name
- MRS. CLARISSA B ELLISON
- Title
- ADMINISTRATOR
- Phone
- (336) 349-2220
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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