KATHLEEN MARIE ELLIS

FENTON, MI
NPI1346685575
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy313M00000X Nursing Facility/Intermediate Care Facility
(Licence: MI  5502001225)
Enumeration Date2013-05-01
Last Update Date2013-05-01
Business Address
MRS. KATHLEEN MARIE ELLIS LPTA
512 BEACH ST
FENTON, MI 48430-3122
Phone number: 810-629-4117
Mailing Address
MRS. KATHLEEN MARIE ELLIS LPTA
11182 E RICHFIELD RD
DAVISON, MI 48423-8517
Phone number: 810-252-9888