| Doctor Name: | ELLA MARIA CAIN |
| NPI Number: | 1780816009 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | HC4581 |
| Business Practice Address: | 13534 Plaza Road Ext Ste 113 Charlotte, NC - 282158921 |
| Business Phone Number: | 7046312423 |
| Business Fax Number: | 7046312423 |
| Mailing Address: | 13534 Plaza Road Ext, Ste 113 CHARLOTTE |
| State: | NC |
| Postal Code: | 282158921 |
| Phone Number: | 7046312423 |
| Fax Number: | 7046312423 |
| NPI Enumeration Date: | 08/20/2009 |
| NPI Last Update Date: | 12/03/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | HC4581 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |