Most Relevant Information
Provider Data
NPI Number: | 1003218652 |
Provider Name: | SHELIA L SIMMONS |
Entity Type: | Individual |
Taxonomy Code: | 251E00000X |
Specialty: | Home Health |
License Number: |
Most Important Dates
Enumeration Date: | 09/25/2014 |
Last Updated: | 11/16/2021 |
Provider Practice Location
67 AZALEA TRL
HAVANA
FL
323335135
Practice Location Phone/Fax
Phone: | 8502125612 |
Fax: |
Provider Mailing Location
67 AZALEA TRL
HAVANA
FL
323335135
Provider Mailing Phone/Fax
Phone: | 8502125612 |
Fax: |