EBONI ELLIS

NORTH LITTLE ROCK, AR
NPI1538489752
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2010-06-10
Last Update Date2010-06-10
Business Address
-- EBONI ELLIS MHPP
4701 FAIRWAY AVE
NORTH LITTLE ROCK, AR 72116-8066
Phone number: 501-771-8261
Mailing Address
-- EBONI ELLIS MHPP
6900 CANTRELL RD APARTMENT Q101
LITTLE ROCK, AR 72207-4160
Phone number: 501-256-3403