Individual
TREVON MAURICE SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8011 N POINT BLVD, WINSTON SALEM, NC 27106-3879
(336) 590-6352
Mailing address
PO BOX 6552, MOUNT AIRY, NC 27030-6552
(336) 590-6352
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC7767
NC
3747P1801X
Personal Care Attendant
HC7767
NC
Other
Enumeration date
03/11/2025
Last updated
03/20/2025
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