| Ellens Enterprise Llc | |
|
3277 Shadow Wood Dr Greenacres FL 33463-2439 | |
| (609) 209-4646 | |
| Not Available |
| Full Name | Ellens Enterprise Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3277 Shadow Wood Dr, Greenacres, Florida |
| Authorized Official Name and Position | Ellen Kestecher (OWNER) |
| Authorized Official Contact | 6092094646 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellens Enterprise Llc 3277 Shadow Wood Dr Greenacres FL 33463-2439 Ph: () - | Ellens Enterprise Llc 3277 Shadow Wood Dr Greenacres FL 33463-2439 Ph: (609) 209-4646 |
| NPI Number | 1710726773 |
|---|---|
| Provider Enumeration Date | 05/21/2024 |
| Last Update Date | 05/21/2024 |
| Certification Date | 05/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710726773 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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