Individual
SHANIA C HEWETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
808 HOPE MILLS RD, FAYETTEVILLE, NC 28304-2223
(910) 813-3317
Mailing address
808 HOPE MILLS RD, FAYETTEVILLE, NC 28304-2223
(910) 813-3317
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
385H00000X
Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
03/17/2025
Last updated
03/17/2025
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