Individual
SHALON KATRICE WINDETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24101 LAKE SHORE BLVD # A514, EUCLID, OH 44123-1225
(216) 527-7293
Mailing address
24101 LAKESHORE # A 514, EUCLID, OH 44123
(216) 527-7293
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
378210550599
OH
372500000X
Chore Provider
378210550599
OH
372600000X
Adult Companion
378210550599
OH
3747A0650X
Attendant Care Provider
378210550599
OH
3747P1801X
Personal Care Attendant
378210550599
OH
376J00000X
Homemaker
378210550599
OH
376K00000X
Nurse's Aide
Primary
378210550599
OH
Other
Enumeration date
02/20/2017
Last updated
02/20/2017
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