Individual
SHANETTA DENISE SAVADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
717 S 29TH ST, SOUTH BEND, IN 46615-2237
(574) 315-3081
Mailing address
717 S 29TH ST, SOUTH BEND, IN 46615-2237
(574) 315-3081
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27068409A
IN
310400000X
Assisted Living Facility
—
—
364SH0200X
Home Health Clinical Nurse Specialist
27068409A
IN
374U00000X
Home Health Aide
—
—
Other
Enumeration date
04/19/2019
Last updated
04/19/2019
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