Individual
SHANITA DUDLEY GARNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3215 FERN VALLEY RD STE 204, LOUISVILLE, KY 40213-3564
(502) 975-5930
Mailing address
3215 FERN VALLEY RD STE 204, LOUISVILLE, KY 40213-3564
(502) 975-5930
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
500439
KY
372600000X
Adult Companion
500439
—
3747P1801X
Personal Care Attendant
500439
—
Other
Enumeration date
11/01/2024
Last updated
11/01/2024
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