NPI 1053285999
Destiny Ellison
Practice location
- Address
- 9715 Labette Dr, Little Rock, AR 72205-6703
- Phone
- (501) 413-2167
- Mailing address
- 2628 Green Valley Dr, Toledo, OH 43614-4983
Registered specialties (3)
Respite Care
Primary
Home Health Agency
Child Intellectual and/or Developmental Disabilities Respite Care
Registry record
- NPI
- 1053285999
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 2 Oct 2025
- Record last updated
- 2 Oct 2025
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.