Ellens Enterprise LLC
NPI #1710726773 in Greenacres, Florida
Provider Information
- NPI Number
- 1710726773
- Entity Type
- Organization
- Organization Name
- Ellens Enterprise LLC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- May 21, 2024
- Last Updated
- May 21, 2024
Practice Location
- Address
- 3277 SHADOW WOOD DR
- City
- Greenacres
- State
- Florida
- ZIP Code
- 33463-2439
- Phone
- (609) 209-4646
Authorized Official
- Name
- ELLEN KESTECHER
- Title
- OWNER
- Phone
- (609) 209-4646
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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