Individual
PATTY STALLWORTH
Active
Individual
PATTY STALLWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CEO
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
347C00000X
AL
347C00000X
Private Vehicle
347C00000X
AL
374U00000X
Home Health Aide
Primary
374U00000X
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1326069964
VETERANS HOMEBOUND SERVICES
—
01
—
1679654966
VETERANS HOMEBOUND SERVICES
—
Enumeration date
04/25/2016
Last updated
06/20/2016
Update your record
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