NPI | 1811653850 |
---|---|
Professional Name | SHAVONTIA SHARROCK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 253Z00000X In Home Supportive Care |
Additional Taxonomies | 251E00000X Home Health |
251J00000X Nursing Care | |
374U00000X Home Health Aide | |
385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
376J00000X Homemaker | |
385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
Enumeration Date | 2021-11-15 |
Last Update Date | 2021-11-15 |