Individual
MISS TEKELA SHANTA SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4038B CALHOUN MEMORIAL HWY, EASLEY, SC 29640-9068
(864) 417-9291
Mailing address
4038B CALHOUN MEMORIAL HWY, EASLEY, SC 29640-9068
(864) 417-9291
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
Primary
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
06/03/2014
Last updated
02/24/2015
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