Ellis- Slaughter, Keyonna

Ellis- Slaughter, Keyonna is an sole proprietor health care provider with primary practice located at 728 Oak Knoll Ave Se , Warren OH 44484. She recently has 3 registered licenses in different health care specialties including Nursing Service Related Providers / Home Health Aide, Nursing Service Related Providers / Nurse's Aide, Nursing Service Related Providers / Personal Care Attendant. Nursing Service Related Providers / Personal Care Attendant is her primary health care specialty. Ellis- Slaughter, Keyonna can be contacted via phone (330) 518-2748.

Contact Information

Primary practice address
728 Oak Knoll Ave Se Warren OH 44484
Phone: (330) 518-2748
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X 401780290815 Ohio
Nursing Service Related Providers / Nurse's Aide 376K00000X
Nursing Service Related Providers / Personal Care Attendant 3747P1801X

Profile Details

NPI number 1326429432
LBN Legal business name Ellis- Slaughter, Keyonna
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 15th, 2015
Last updated Jul 5th, 2018 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1326429432 NPPES
Ohio MEDICAID CS1607000200

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