Individual
SHANITA RENEE HINTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1106 S PEACH ST, PHILADELPHIA, PA 19143-4821
(215) 399-8086
Mailing address
1106 S PEACH ST, PHILADELPHIA, PA 19143-4821
(267) 780-8733
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
PA
Other
Enumeration date
05/20/2021
Last updated
10/30/2023
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