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Individual

LIONEL YATES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CNA

Contact information

Practice address
200 FOXHALL DR, LEXINGTON, SC 29073-8184
(843) 909-4713
Mailing address
200 FOXHALL DR, LEXINGTON, SC 29073-8184
(843) 909-4713

Taxonomy

Speciality
Code
Description
License number
State
372500000X
Chore Provider
372600000X
Adult Companion
3747A0650X
Attendant Care Provider
3747P1801X
Personal Care Attendant
374T00000X
Religious Nonmedical Nursing Personnel
374U00000X
Home Health Aide
SC
374U00000X
Home Health Aide
376J00000X
Homemaker
376K00000X
Nurse's Aide
Primary

Other

Enumeration date
02/20/2015
Last updated
02/20/2015
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