TYSHANA SIMMONS

FARGO, ND
NPI1437847126
Other NameTYSHANA KENDRICK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy251S00000X Community/Behavioral Health
Additional Taxonomies251E00000X Home Health
251C00000X Day Training, Developmentally Disabled Services
253Z00000X In Home Supportive Care
320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities
376J00000X Homemaker
385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities
374U00000X Home Health Aide
Enumeration Date2023-05-01
Last Update Date2023-05-27
Business Address
TYSHANA SIMMONS
19 8TH ST S # 832
FARGO, ND 58103-1804
Phone number: 478-569-7775
Mailing Address
TYSHANA SIMMONS
19 8TH ST S # 832
FARGO, ND 58103-1804
Phone number: 478-569-7775