Individual
SHONIA BATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1410 S HICKS ST, PHILADELPHIA, PA 19146-4819
(215) 593-0846
Mailing address
505 S 18TH ST APT 107, PHILADELPHIA, PA 19146-1515
(215) 593-0846
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
62453601
PA
376J00000X
Homemaker
62453601
PA
385H00000X
Respite Care
62453601
PA
Other
Enumeration date
02/07/2022
Last updated
02/07/2022
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