Individual
SHANA BURWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3610 JASMINE COVE LN, SNELLVILLE, GA 30039-8414
(818) 232-1897
Mailing address
3610 JASMINE COVE LN, SNELLVILLE, GA 30039-8414
(818) 232-1897
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
PHCP010743
GA
253Z00000X
In Home Supportive Care Agency
—
—
3747P1801X
Personal Care Attendant
—
GA
374U00000X
Home Health Aide
—
—
Other
Enumeration date
06/25/2020
Last updated
06/25/2020
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