Individual
NINJA KING DOMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HHA
Contact information
Practice address
300 LAURA LN APT 202, SEAFORD, DE 19973-1254
(215) 452-3966
Mailing address
300 LAURA LN APT 202, SEAFORD, DE 19973-1254
(215) 452-3966
(302) 875-2601
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
10000520445
DE
253Z00000X
In Home Supportive Care Agency
Primary
10000520445
DE
374U00000X
Home Health Aide
10000520445
DE
Other
Enumeration date
09/01/2022
Last updated
09/01/2022
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