Ellis, Jimmy Lee

Ellis, Jimmy Lee is an individual health care provider with primary practice located at 105 N Links Dr Apt 1061 , Avondale AZ 85323-3046. He recently has 3 registered licenses in different health care specialties including Nursing Service Related Providers / Home Health Aide, Nursing Service Related Providers / Homemaker, Nursing Service Related Providers / Adult Companion. Nursing Service Related Providers / Adult Companion is his primary health care specialty. Ellis, Jimmy Lee can be contacted via phone (480) 487-8480.

Contact Information

Primary practice address
105 N Links Dr Apt 1061 Avondale AZ 85323-3046
Phone: (480) 487-8480
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X
Nursing Service Related Providers / Homemaker 376J00000X
Nursing Service Related Providers / Adult Companion 372600000X

Profile Details

NPI number 1376013326
LBN Legal business name Ellis, Jimmy Lee
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 3rd, 2018
Last updated Jan 5th, 2019 - about 7 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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