Individual
ADELA R SHAFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1978 MORNING WALK NW, ACWORTH, GA 30102-6454
(469) 237-6935
Mailing address
1978 MORNING WALK NW, ACWORTH, GA 30102-6454
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
374U00000X
Home Health Aide
—
GA
Other
Enumeration date
02/21/2018
Last updated
02/21/2018
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