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1982441507
PATRICIA A ELLIS
SOUTHFIELD, MI
NPI
1982441507
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
311ZA0620X Custodial Care Facility, Adult Care Home
Enumeration Date
2024-07-11
Last Update Date
2024-07-11
Business Address
PATRICIA A ELLIS
21494 AVON LN
SOUTHFIELD, MI 48075-7104
Phone number: 616-264-8156
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Mailing Address
PATRICIA A ELLIS
21494 AVON LN
SOUTHFIELD, MI 48075-7104
Phone number: 616-264-8156
Copy
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