Gwenetta La'Shawn Spruill
Chore Provider in Garner, NC. Individual provider (NPI-1).
NPI number1689037608
StatusActive
Last updated in NPPESMar 29, 2016
Details
- NPI
- 1689037608
- Entity type
- Individual (NPI-1)
- Name
- Ms. Gwenetta La'Shawn Spruill
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 29, 2016
- Last updated
- Mar 29, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 372500000X | Chore Provider | – | – | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | – | |
| 372600000X | Adult Companion | – | – | |
| 3747A0650X | Technician, Attendant Care Provider | – | – | |
| 3747P1801X | Technician, Personal Care Attendant | – | – | |
| 374U00000X | Home Health Aide | – | – | |
| 376K00000X | Nurse's Aide | – | – |
Practice location
3130 Drayford WayGarner, NC 27529-7271
Phone 919-559-1033
Mailing address
3130 Drayford WayGarner, NC 27529-7271
Phone 919-559-1033
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