Individual provider · NPI-1
Earleen Young
Home Health Aide · Columbus, MS
NPI number1700335387
StatusActive
Last updated in NPPESSep 23, 2016
Details
- NPI
- 1700335387
- Entity type
- Individual (NPI-1)
- Name
- Earleen Young
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 23, 2016
- Last updated
- Sep 23, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | – | – | Yes |
Practice location
17 Sydney Loop# 2
Columbus, MS 39702-4488
Phone 770-875-4034
Mailing address
17 Sydney Loop# 2
Columbus, MS 39702-4488
Phone 770-875-4034
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