Individual
JOHN J SHEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2 LIGHTHOUSE LN STE 919, HILTON HEAD ISLAND, SC 29928-2941
(843) 592-2868
Mailing address
2 LIGHTHOUSE LN STE 919, HILTON HEAD ISLAND, SC 29928-2941
(843) 592-2868
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
251E00000X
Home Health Agency
—
—
372600000X
Adult Companion
—
—
Other
Enumeration date
12/31/2021
Last updated
02/09/2022
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