Individual
SHANNON THOMPKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1622 W 32ND ST, MARION, IN 46953-3432
(765) 573-5954
Mailing address
1622 W 32ND ST, MARION, IN 46953-3432
(765) 573-5954
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
16-013693-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47-1978676
VA BENEFITS
IN
Enumeration date
03/30/2017
Last updated
03/30/2017
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