DEMETRIC ELLIS

In Home Supportive Care

Active Individual
NPI: 1154953008

Practice Address

1600 LANSDOWNE DR APT 215
Jacksonville, FL 32211

Phone: (904) 444-0180

Specialties

Specialty Code Primary License
In Home Supportive Care 253Z00000X Yes 30402 (FL)

Frequently Asked Questions

NPI 1154953008 is the National Provider Identifier for DEMETRIC ELLIS, a In Home Supportive Care provider located in Jacksonville, FL. This NPI was enumerated on February 9, 2020.
DEMETRIC ELLIS practices at 1600 LANSDOWNE DR APT 215, Jacksonville, FL 32211.

Quick Facts

NPI
1154953008
Type
Individual
Enumerated
Feb 9, 2020
Last Updated
Feb 9, 2020

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