| Organization Name: | THE ELLISON NURSING GROUP, LLC |
| NPI Number: | 1801134051 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | VALENCIA NICHOLAS (HR) |
| Mailing Address: | 500 Office Center Dr Suite 400 Fort Washington |
| State: | PA US |
| Postal Code: | 190343219 |
| Phone Number: | 2675131722 |
| Fax Number: | |
| NPI Enumeration Date: | 01/23/2013 |
| NPI Last Update Date: | 01/23/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 164W00000X |
| License Number: | PN293180 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Licensed Practical Nurse |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |