Tyree Ellis
Home Health Aide in Reynoldsburg, OH. Individual provider (NPI-1).
NPI number1669913596
StatusActive
Last updated in NPPESMar 10, 2017
Details
- NPI
- 1669913596
- Entity type
- Individual (NPI-1)
- Name
- Tyree Ellis
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 10, 2017
- Last updated
- Mar 10, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | Te159224 | OH | Yes |
Practice location
212 Endora StReynoldsburg, OH 43068-5181
Phone 614-981-1128
Mailing address
212 Endora StReynoldsburg, OH 43068-5181
Phone 614-981-1128
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All 83 Home Health Aide providers in Reynoldsburg · All 1,482 providers in Reynoldsburg
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