Organization
IN-HOME SUPPORT BY SHAWANA MARTIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHAWANA S MARTIN LPN (OWNER)
(276) 732-5667
Entity
Organization
Contact information
Practice address
105 FERNDALE DR, COLLINSVILLE, VA 24078-3030
(276) 732-5667
Mailing address
105 FERNDALE DR, COLLINSVILLE, VA 24078-3030
(276) 732-5667
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
—
—
Other
Enumeration date
05/30/2026
Last updated
05/30/2026
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