| NPI | 1881187672 |
|---|---|
| Other Name | JACKIE CRADY SHEPARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant (Licence: FL CNA254629) |
| Additional Taxonomies | 372500000X Chore Provider (Licence: FL CNA254629) |
| 372600000X Adult Companion (Licence: FL CNA254629) | |
| 374U00000X Home Health Aide (Licence: FL CNA254629) | |
| 376K00000X Nurse's Aide (Licence: FL CNA254629) | |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2018-06-07 |