Shanika S Dalton, NCCPSS
Home Health in Winston Salem, NC. Individual provider (NPI-1).
NPI number1639767593
StatusActive
Last updated in NPPESApr 21, 2025
Details
- NPI
- 1639767593
- Entity type
- Individual (NPI-1)
- Name
- Shanika S Dalton
- Credential
- NCCPSS
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 6, 2021
- Certification date
- Apr 21, 2025
- Last updated
- Apr 21, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
| 172A00000X | Driver | – | – | |
| 172V00000X | Community Health Worker | – | – | |
| 175T00000X | Peer Specialist | – | – |
Practice location
2006 Ne 24th StWinston Salem, NC 27105-5514
Phone 336-918-9028 · Fax 336-829-5610
Mailing address
2006 Ne 24th StWinston Salem, NC 27105-5514
Phone 336-918-9028 · Fax 336-829-5610
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