Ellis, Aquanita Sheretta

Ellis, Aquanita Sheretta is an sole proprietor health care provider with primary practice located at 808 20Th St , Phenix City AL 36867-4525. She recently has 3 registered licenses in different health care specialties including Agencies / In Home Supportive Care, Nursing Service Related Providers / Attendant Care Provider, Nursing Service Related Providers / Home Health Aide. Nursing Service Related Providers / Home Health Aide is her primary health care specialty. Ellis, Aquanita Sheretta can be contacted via phone (706) 302-9291.

Contact Information

Primary practice address
808 20Th St Phenix City AL 36867-4525
Phone: (706) 302-9291
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / In Home Supportive Care 253Z00000X
Nursing Service Related Providers / Attendant Care Provider 3747A0650X
Nursing Service Related Providers / Home Health Aide 374U00000X

Profile Details

NPI number 1104661107
LBN Legal business name Ellis, Aquanita Sheretta
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 1st, 2024
Last updated Jul 11th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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