Individual
MISS SHERITA NICOLE EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
14736 DOBSON AVE, DOLTON, IL 60419-2313
(708) 224-6471
(708) 487-9293
Mailing address
14736 DOBSON AVE, DOLTON, IL 60419-2313
(708) 224-6471
(708) 487-9293
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
376J00000X
Homemaker
—
—
385HR2050X
Respite Care Camp
—
—
Other
Enumeration date
03/04/2021
Last updated
06/16/2021
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