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Shannon Wallace, HOMEHEATHAIDE
Home Health Aide in Lakeland, Florida
NPI 1750757340

Shannon Wallace is a Home Health Aide based in Lakeland, FL. Shannon Wallace practices in Lakeland, FL and has the professional credentials of HOMEHEATHAIDE. The NPI Number for Shannon Wallace is 1750757340 and holds a License No. (Florida).

The current practice location address for Shannon Wallace is 636 Candyce Ave, Lakeland, FL and can be reached out via phone at 863-614-4071.

Location: 636 Candyce Ave, Lakeland, FL, 33815-1202
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750757340
Provider Name
Shannon Wallace
Credential
HOMEHEATHAIDE
Provider Entity Type
Individual
Gender
Female
Address
636 Candyce Ave, Lakeland, FL, 33815-1202
Phone Number
863-614-4071
Fax Number
Provider Enumeration Date
08/18/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
636 Candyce Ave
City
Lakeland
State
Florida
Zip
33815-1202
Phone Number
863-614-4071
Fax Number
person
Provider Business Mailing Address Details
Address
636 Candyce Ave
City
Lakeland
State
Florida
Zip
33815-1202
Phone Number
863-614-4071
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Home Health Aide
Speciality
-
Taxonomy
374U00000X
License No.
()
Definition
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
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