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Contact Information

AQUANITA S ELLIS
808 20TH ST
PHENIX CITY, AL36867-4525
 Phone: 706-302-9291
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health Aide

374U00000X
 

Attendant Care Provider

3747A0650X
 

In Home Supportive Care

253Z00000X
Indicates primary specialty

NPI Profile & details for AQUANITA S ELLIS · (Female)

NPI # 1104661107
Status Active
Credentials
Entity Individual
Enumeration date 07/01/2024
Last updated 07/11/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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