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
Health care specialties
Specialty | Code | License # | 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 6 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1326429432 | NPPES |
Ohio | MEDICAID | CS1607000200 |
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