Mr. Terrell Tyray Ellis
Mr. Terrell Tyray Ellis is a Home Health Aide in Southfield, Michigan. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 3
Practice location Address checks out
21408 Inkster RdSouthfield, MI 48033-5026
Phone: (947) 224-0379
Fax: (947) 941-2603
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| In Home Supportive Care Agency (primary) | Taxonomy 253Z00000X |
|---|---|
| Home Health Aide | Taxonomy 374U00000X |
| Homemaker | Taxonomy 376J00000X |
Record details
| NPI number | 1790455152 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 16, 2021 |
| Last updated in NPPES | September 16, 2021 |
| Certification date | September 16, 2021 |
| Mailing address | 21408 Inkster Rd, Southfield, MI 48033-5026 |
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