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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. TERRELL TYRAY ELLIS

Active Sole Proprietor

MR. TERRELL TYRAY ELLIS is a In Home Supportive Care Agency healthcare provider located in SOUTHFIELD, Michigan. NPI 1790455152 is currently active in the NPPES registry. Verify at CMS.

In Home Supportive Care Agency · SOUTHFIELD, MI

Registration Details

NPI Number
1790455152
Provider Type
Individual
Gender
Male
NPI Issued
Sep 16, 2021 (4.9050105171548 yrs)
Last Updated
Sep 16, 2021
Sole Proprietor
Yes

Practice Information

Address
21408 INKSTER RD
SOUTHFIELD, MI, 480335026
Browse MI providers · Browse ZIP 48033
Phone
9472240379
Fax
9479412603
Primary Specialty
In Home Supportive Care Agency
253Z00000X
Additional Specialty
Homemaker

Other In Home Supportive Care Agency Providers in SOUTHFIELD, MI

Name Credential NPI
NICOLE M TUCKERCAUSEY 1083058077
CAVIER CHARLES ROGERS JR. 1124581921
LADEANNA GUY 1679178438
VANESSA MINLEY OBADINA 1811689748
HOUSSEIN A ISMAEL 1225806326
LEA SIMONE TABB 1225862105
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.