Individual
SHANETRA MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
524 FLORIDA PL, BARBERTON, OH 44203-4079
(330) 391-5881
Mailing address
524 FLORIDA PL, BARBERTON, OH 44203-4079
(330) 391-5881
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
12/01/2022
Last updated
12/01/2022
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