Individual
SHAKITA MCINTYRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
713 GREENWOOD AVE, CLARKSVILLE, TN 37040-4065
(931) 237-2325
Mailing address
713 GREENWOOD AVE, CLARKSVILLE, TN 37040-4065
(931) 237-2325
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
3747P1801X
Personal Care Attendant
—
—
374T00000X
Religious Nonmedical Nursing Personnel
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
Primary
109430
TN
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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