Organization
SIMPLY PRECIOUS CARE LLC
Active
Other names
Simply Precious Care
Organization subpart
No
Provider details
NPI number
Authorized official
CEQUELLA SHAMPREE WHITT CNA (CEO)
(317) 444-1675
Entity
Organization
Contact information
Practice address
3525 LAKE AVE STE 5, FORT WAYNE, IN 46805-5573
(317) 444-1675
Mailing address
3525 LAKE AVE STE 5, FORT WAYNE, IN 46805-5573
(317) 444-1675
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
—
Other
Enumeration date
04/15/2025
Last updated
04/15/2025
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