Individual provider · NPI-1
Arunda Faye Simmons
Home Health Aide · Racine, WI
NPI number1609641828
StatusActive
Last updated in NPPESNov 17, 2023
Details
- NPI
- 1609641828
- Entity type
- Individual (NPI-1)
- Name
- Arunda Faye Simmons
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 17, 2023
- Certification date
- Sep 19, 2023
- Last updated
- Nov 17, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | – | – | Yes |
Practice location
1837 Roe AveRacine, WI 53404-3425
Phone 262-221-3701
Mailing address
1837 Roe AveRacine, WI 53404-3425
Phone 262-221-3701
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