NPI 1093209272

Ellemsenterprises, LLC

Organisation Private Vehicle Glen Allen, VA

Practice location

Address: 2202 High Bush Cir, Glen Allen, VA 23060-2240
Phone: (804) 640-2101
Fax: (877) 879-6336
Mailing address: PO Box 3051, Richmond, VA 23228-9701

Authorised official

Name: Lisa Monica Smith
Title: Owner/Operator
Phone: (804) 640-2101

Registered specialties

Private Vehicle Primary

Transportation Services Taxonomy 347C00000X

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Registry record

NPI: 1093209272
Entity type: Organization
NPI issued: 20 Jun 2018
Record last updated: 20 Jun 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.