Juanett Maxwell
Home Health Aide in Cottageville, SC. Individual provider (NPI-1).
NPI number1982108452
StatusActive
Last updated in NPPESApr 17, 2019
Details
- NPI
- 1982108452
- Entity type
- Individual (NPI-1)
- Name
- Ms. Juanett Maxwell
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 20, 2018
- Last updated
- Apr 17, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | – | – | Yes |
| 372600000X | Adult Companion | – | – |
Practice location
595 Brocktown RdCottageville, SC 29435-3158
Phone 803-747-9265
Mailing address
595 Brocktown RdCottageville, SC 29435-3158
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