Individual
SHAWNTE FLOYD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
140 E 14TH ST, INDIANAPOLIS, IN 46202-4418
(317) 200-4667
(317) 419-3131
Mailing address
140 E 14TH ST, INDIANAPOLIS, IN 46202-4418
(317) 200-4667
(317) 419-3131
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
27081216A
IN
251E00000X
Home Health Agency
Primary
24-016473-1
IN
3747A0650X
Attendant Care Provider
24-016473-1
IN
3747P1801X
Personal Care Attendant
24-016473-1
IN
Other
Enumeration date
11/04/2024
Last updated
03/17/2025
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