Organization Name: | THE ELLISON NURSING GROUP, LLC |
NPI Number: | 1124263520 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LAUREN RENE ELLISON (PRESIDENT) |
Mailing Address: | 500 Office Center Dr Suite 400 Fort Washington |
State: | PA US |
Postal Code: | 190343219 |
Phone Number: | 2675131722 |
Fax Number: | 2675131728 |
NPI Enumeration Date: | 12/13/2008 |
NPI Last Update Date: | 07/12/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WH0200X |
License Number: | RN232274L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Home Health |
Taxonomy Definition: |