Individual
MS. SHABRESHA NICOLE STOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4616 OAKMONT ST, PHILADELPHIA, PA 19136-3720
(215) 954-8346
Mailing address
4616 OAKMONT ST, PHILADELPHIA, PA 19136-3720
(215) 954-8346
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
66243601
PA
376J00000X
Homemaker
66243601
PA
385H00000X
Respite Care
66243601
PA
Other
Enumeration date
12/26/2022
Last updated
12/26/2022
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