Individual
CHANTA FERRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9100 CONROY WINDERMERE RD STE 200, WINDERMERE, FL 34786-8431
(407) 603-6992
Mailing address
PO BOX 53811, IRVINE, CA 92619-3811
(407) 603-6992
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251B00000X
Case Management Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
01/29/2018
Last updated
03/30/2022
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