Individual
SHIRLEY FAYE YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
639 E JOHNSON AVE, PENSACOLA, FL 32514-3902
(850) 417-5834
Mailing address
639 E JOHNSON AVE, PENSACOLA, FL 32514-3902
(850) 417-5834
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
233301
FL
253Z00000X
In Home Supportive Care Agency
Primary
233301
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008309400
—
FL
Enumeration date
10/22/2013
Last updated
10/22/2013
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