NPI 1144053026

Shantell Fallen

Practitioner Case Manager/Care Coordinator White Hall, AL

Practice location

Address: 448 Freedom Rd, White Hall, AL 36040-4419
Phone: (678) 789-7663
Mailing address: 414 Lady Guinevere Way, Jonesboro, GA 30236-1720

Registered specialties (3)

Case Manager/Care Coordinator Primary

Other Service Providers Taxonomy 171M00000X

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Community Health Worker

Other Service Providers Taxonomy 172V00000X

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Personal Care Attendant

Nursing Service Related Providers Taxonomy 3747P1801X

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Registry record

NPI: 1144053026
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Aug 2024
Record last updated: 26 Aug 2024

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.