AMANDA ELLIS

SAN TAN VALLEY, AZ
NPI1194198697
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy320700000X Residential Treatment Facility, Physical Disabilities
(Licence: AZ  D05686544)
Enumeration Date2015-11-05
Last Update Date2015-11-05
Business Address
-- AMANDA ELLIS
381 EAST BROOK STREET
SAN TAN VALLEY, AZ 85140
Phone number: 480-495-2839
Mailing Address
-- AMANDA ELLIS
381 E BROOK ST
SAN TAN VALLEY, AZ 85140
Phone number: 480-495-2839