Individual
SHANELL LASHAY WORTHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
350 LOOKOUT AVE, DAYTON, OH 45417-1937
(937) 607-3014
Mailing address
350 LOOKOUT AVE, DAYTON, OH 45417-1937
(937) 607-3014
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
05/26/2022
Last updated
05/26/2022
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