Individual
DEBORAH SHEALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MDIV; DCC
Contact information
Practice address
4179 INDIAN SPRING RD, GREEN BAY, VA 23942-2516
(434) 390-3111
Mailing address
4179 INDIAN SPRING RD, GREEN BAY, VA 23942-2516
(434) 390-3111
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/16/2020
Last updated
01/17/2020
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