| NPI | 1639425341 |
|---|---|
| Professional Name | MACY NEIL ELLINGON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist (Licence: A021500116) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: CA A021500116) |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2025-06-16 |