MEDICARE: ELLE 1 SERVICE CORP.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1649227596
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELLE 1 SERVICE CORP.

Provider Business Mailing Address
First Line	:	347 PALM AVE
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33010-4715
Country	:	US
Telephone Number	:	786-439-3293
Fax Number	:	786-507-2959

Provider Business Practice Location Address
First Line	:	347 PALM AVE
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33010-4715
Country	:	US
Telephone Number	:	786-439-3293
Fax Number	:	786-507-2959

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. FRANCISCA M SANCHEZ
Credential	:
Telephone Number	:	786-853-1397

Provider Enumeration Date	:	05/27/2006
Last Update Date	:	08/22/2020

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Directions to “ELLE 1 SERVICE CORP. ” Practice Location

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