Individual provider · Type 1 NPI

Aquanita Sheretta Ellis

Home Health Aide · Phenix City, AL

NPI number 1104661107 Active

Practice location

808 20th St
Phenix City, AL 36867-4525

Mailing address

1007 Samford Ct Apt B
Opelika, AL 36801-9782

Other practice locations

  • 1414 2nd St S, Phenix City, AL 36869-7318 · (706) 984-4571

Specialties and licenses

TaxonomyCodeLicense
In Home Supportive Care Agency 253Z00000XNone listed
Attendant Care Provider 3747A0650XNone listed
Home Health Aide Primary 374U00000XNone listed

Home Health Aide: A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.

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About NPI 1104661107

Aquanita Sheretta Ellis's National Provider Identifier is 1104661107, issued on Jul 1, 2024. The primary taxonomy on file is Home Health Aide (374U00000X), and the practice location is in Phenix City, AL. The record was last updated on Jul 11, 2024.