Individual
CHELLSY LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
116 CEMETERY RD, SAN MATEO, FL 32187
(386) 336-3150
Mailing address
PO BOX 21, SAN MATEO, FL 32187-0021
(386) 336-3150
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
329715
FL
253Z00000X
In Home Supportive Care Agency
329715
FL
347C00000X
Private Vehicle
329715
FL
376K00000X
Nurse's Aide
Primary
329715
FL
385HR2050X
Respite Care Camp
329715
FL
Other
Enumeration date
01/02/2024
Last updated
02/16/2024
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