Most Relevant Information
Provider Data
| NPI Number: | 1003542333 |
| Provider Name: | CHAVA SHANKLIN |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/28/2022 |
| Last Updated: | 07/28/2022 |
Provider Practice Location
2621 DRYDEN RD
MORAINE
OH
454391661
Practice Location Phone/Fax
| Phone: | 9372931945 |
| Fax: |
Provider Mailing Location
2621 DRYDEN RD
MORAINE
OH
454391661
Provider Mailing Phone/Fax
| Phone: | 9372931945 |
| Fax: |