Individual
SHANNON BONEZZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5359 GROVEWOOD LN, MEDINA, OH 44256-6570
(216) 312-0094
Mailing address
5359 GROVEWOOD LN, MEDINA, OH 44256-6570
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
332U00000X
Home Delivered Meals
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
05/03/2023
Last updated
05/03/2023
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