Patricia A Ellis
NPI #1982441507 in Southfield, Michigan
Provider Information
- NPI Number
- 1982441507
- Entity Type
- Individual
- Name
- Patricia A Ellis
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- Jul 11, 2024
- Last Updated
- Jul 11, 2024
Practice Location
- Address
- 21494 AVON LN
- City
- Southfield
- State
- Michigan
- ZIP Code
- 48075-7104
- Phone
- (616) 264-8156
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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