Ellison's Family Care Home

NPI #1699957407 in Reidsville, North Carolina

Provider Information

NPI Number
1699957407
Entity Type
Organization
Organization Name
Ellison's Family Care Home
Primary Specialty
Assisted Living Facility
Enumeration Date
Dec 4, 2007
Last Updated
Dec 4, 2007

Practice Location

Address
372 CANDY CREEK RD
ZIP Code
27320-1626
Phone
(336) 349-2220

Authorized Official

Name
MRS. CLARISSA BROADNAX ELLISON
Title
ADMINISTRATOR
Phone
(336) 349-2220

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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