Individual
SHAQUANA BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
824 E WOODLAWN AVE, PHILA, PA 19138-2331
(267) 977-2413
Mailing address
824 E WOODLAWN AVE, PHILA, PA 19138-2331
(267) 977-2413
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
69463601
PA
376J00000X
Homemaker
69463601
PA
385H00000X
Respite Care
69463601
PA
Other
Enumeration date
12/08/2022
Last updated
12/08/2022
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