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Individual

NATHENIA WELLS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
172A00000X
Driver
174200000X
Meals Provider
175T00000X
Peer Specialist
251C00000X
Developmentally Disabled Services Day Training Agency
251E00000X
Home Health Agency
253Z00000X
In Home Supportive Care Agency
343900000X
Non-emergency Medical Transport (VAN)
Primary
347C00000X
Private Vehicle
372500000X
Chore Provider
372600000X
Adult Companion
373H00000X
Day Training/Habilitation Specialist
376J00000X
Homemaker
385H00000X
Respite Care

Other

Enumeration date
09/22/2023
Last updated
03/06/2025
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