NPI 1124468442

Michellis LLC

Organisation Child Intellectual and/or Developmental Disabilities Respite Care Evansville, IN

Practice location

Address: 4910 Temple Ave, Evansville, IN 47715-2144
Phone: (812) 401-9540

Authorised official

Name: Michell R Ellis
Title: President/Owner
Phone: (812) 401-9540

Registered specialties

Child Intellectual and/or Developmental Disabilities Respite Care Primary

Respite Care Facility Taxonomy 385HR2060X Licence 13-013218-1 (IN)

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Registry record

NPI: 1124468442
Entity type: Organization
NPI issued: 1 Jul 2013
Record last updated: 1 Jul 2013

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.