Shachara Lynette Lewis
Home Health Aide in Warren, OH. Individual provider (NPI-1).
NPI number1194481663
StatusActive
Last updated in NPPESNov 9, 2021
Details
- NPI
- 1194481663
- Entity type
- Individual (NPI-1)
- Name
- Ms. Shachara Lynette Lewis
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 9, 2021
- Certification date
- Nov 9, 2021
- Last updated
- Nov 9, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | – | OH | Yes |
Practice location
2062 Stewart Dr NwWarren, OH 44485-2341
Phone 440-454-6255
Mailing address
2062 Stewart Dr NwWarren, OH 44485-2341
Phone 440-454-6255
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