Individual
LEVON DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
160 BROADWAY ST APT K7, CLINTON, MS 39056-4842
(601) 951-8466
Mailing address
160 BROADWAY ST APT K7, CLINTON, MS 39056-4842
(601) 951-8466
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/03/2018
Last updated
07/03/2018
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