Individual
SHANNON RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7800 VIENNA LN, PORT RICHEY, FL 34668-4349
(727) 831-5476
Mailing address
7800 VIENNA LN, PORT RICHEY, FL 34668-4349
(727) 831-5476
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/18/2018
Last updated
09/18/2018
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