Ellis, Matilda Grace

Ellis, Matilda Grace is an individual health care provider with primary practice located at 343 Fairview Dr Ste 101 , Carson City NV 89701-5389. She recently has 4 registered licenses in different health care specialties including Nursing Service Related Providers / Attendant Care Provider, Nursing Service Related Providers / Homemaker, Nursing Service Related Providers / Chore Provider, Nursing Service Related Providers / Personal Care Attendant. Nursing Service Related Providers / Personal Care Attendant is her primary health care specialty. Ellis, Matilda Grace can be contacted via phone (775) 600-3074.

Contact Information

Primary practice address
343 Fairview Dr Ste 101 Carson City NV 89701-5389
Phone: (775) 600-3074
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Attendant Care Provider 3747A0650X
Nursing Service Related Providers / Homemaker 376J00000X
Nursing Service Related Providers / Chore Provider 372500000X
Nursing Service Related Providers / Personal Care Attendant 3747P1801X

Profile Details

NPI number 1720635824
LBN Legal business name Ellis, Matilda Grace
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2019
Last updated Aug 22nd, 2019 - about 5 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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