Individual
CENYETTA EDELL DRAYTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9621 N CARDINAL DR APT B, LADSON, SC 29456-4925
(843) 864-7095
Mailing address
9621 N CARDINAL DR APT B, LADSON, SC 29456-4925
(843) 864-7095
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
18-02293
SC
372600000X
Adult Companion
18-02293
SC
3747A0650X
Attendant Care Provider
18-02293
SC
3747P1801X
Personal Care Attendant
18-02293
SC
374U00000X
Home Health Aide
Primary
18-02293
SC
376J00000X
Homemaker
18-02293
SC
Other
Enumeration date
07/16/2018
Last updated
07/16/2018
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