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Shannan L Lee, INDEPENDENTPROVIDER
Homemaker in Middletown, Ohio
NPI 1053914374

Shannan L Lee is a Homemaker based in Middletown, OH. Shannan L Lee practices in Middletown, OH and has the professional credentials of INDEPENDENTPROVIDER. The NPI Number for Shannan L Lee is 1053914374 and holds a License No. (Ohio).

The current practice location address for Shannan L Lee is 860 Garver Rd, Middletown, OH and can be reached out via phone at 513-435-2716.

Location: 860 Garver Rd, Middletown, OH, 45044-8923
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053914374
Provider Name
Shannan L Lee
Credential
INDEPENDENTPROVIDER
Provider Entity Type
Individual
Gender
Female
Address
860 Garver Rd, Middletown, OH, 45044-8923
Phone Number
513-435-2716
Fax Number
Provider Enumeration Date
11/19/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0387419 05 OH
institution
Provider Business Practice Location Address Details
Address
860 Garver Rd
City
Middletown
State
Ohio
Zip
45044-8923
Phone Number
513-435-2716
Fax Number
person
Provider Business Mailing Address Details
Address
860 Garver Rd
City
Middletown
State
Ohio
Zip
45044-8923
Phone Number
513-435-2716
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Homemaker
Speciality
-
Taxonomy
376J00000X
License No.
(Ohio)
Definition
An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.
person
Provider's Taxonomy Details 2
Type
Respite Care Facility
Classification
Respite Care
Speciality
-
Taxonomy
385H00000X
License No.
(Ohio)
Definition
Definition to come.
person
Provider's Taxonomy Details 3
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Intellectual and/or Developmental Disabilities, Child
Taxonomy
385HR2060X
License No.
(Ohio)
Definition
A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.
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