NPI 1043984065

Shamonique Favor, CNA

Practitioner Home Health Agency Columbia, SC

Practice location

Address: 206 Gingeroot Way, Columbia, SC 29203-6783
Phone: (803) 238-1640

Registered specialties (3)

Home Health Agency Primary

Agencies Taxonomy 251E00000X Licence 9986560 (SC)

Other Home Health providers in South Carolina →

Nursing Care Agency

Agencies Taxonomy 251J00000X Licence 53966 (SC)

Other Nursing Care providers in South Carolina →

Nursing Care Agency

Agencies Taxonomy 251J00000X Licence 9986560 (SC)

Registry record

NPI: 1043984065
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Aug 2021
Record last updated: 3 Aug 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.