Individual
CHERYL YEARBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8930 SHERIDA LN, CHATTANOOGA, TN 37416-1539
(423) 503-8344
Mailing address
8930 SHERIDA LN, CHATTANOOGA, TN 37416-1539
(423) 503-8344
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
—
—
311ZA0620X
Adult Care Home Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
347C00000X
Private Vehicle
—
—
374U00000X
Home Health Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
823056151
—
TN
Enumeration date
10/11/2017
Last updated
10/11/2017
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