FRED ELLIS

JONESBORO, LA
NPI1235921503
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2025-05-21
Last Update Date2025-05-21
Business Address
FRED ELLIS MA
525 ALEXANDER ST
JONESBORO, LA 71251-2001
Phone number: 318-259-4676
Mailing Address
FRED ELLIS MA
1000 CHINABERRY DR STE 900
BOSSIER CITY, LA 71111-2455
Phone number: