Jequeena Denese Foreman, CNA
Adult Companion in New Haven, CT. Individual provider (NPI-1).
NPI number1992120679
StatusActive
Last updated in NPPESMar 4, 2014
Details
- NPI
- 1992120679
- Entity type
- Individual (NPI-1)
- Name
- Ms. Jequeena Denese Foreman
- Credential
- CNA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 4, 2014
- Last updated
- Mar 4, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 372600000X | Adult Companion | 376k00000x | CT | Yes |
| 372500000X | Chore Provider | 372500000x | CT | |
| 372600000X | Adult Companion | 372600000x | CT | |
| 3747A0650X | Technician, Attendant Care Provider | 3747a0650x | CT | |
| 3747P1801X | Technician, Personal Care Attendant | 3747p1801x | CT | |
| 374U00000X | Home Health Aide | 374u00000x | CT | |
| 376J00000X | Homemaker | 376j00000x | CT | |
| 376K00000X | Nurse's Aide | 376K00000X | CT |
Practice location
17 Vernon St # 200New Haven, CT 06519-1342
Phone 203-901-8670 · Fax 203-891-7854
Mailing address
17 Vernon St. #200New Haven, CT 06519
Phone 203-901-8670 · Fax 203-891-7854
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