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NPI 1104661107

IndividualActive

Aquanita Ellis

NPI 1104661107 · Home Health Aide · Phenix City, AL

Provider details

NPI number: 1104661107
Entity type: Individual
Primary specialty: Home Health AideNursing Service Related Providers
Sex: Female
Sole proprietor: Yes

Practice location

808 20th St

Phenix City, AL 36867-4525

Phone: (706) 302-9291

More AL providers

Mailing address

1007 Samford Ct Apt B

Opelika, AL 36801-9782

Registry dates

Enumerated: 2024-07-01
Last updated: 2024-07-11

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Aquanita Ellis — NPI 1104661107, Phenix City, AL | NPI Central