NPI 1639992407

Shanita Dudley Garner

Practitioner In Home Supportive Care Agency Louisville, KY

Practice location

Address: 3215 Fern Valley Rd STE 204, Louisville, KY 40213-3564
Phone: (502) 975-5930

Registered specialties (4)

In Home Supportive Care Agency Primary

Agencies Taxonomy 253Z00000X Licence 500439 (KY)

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Community Based Hospice Care Agency

Agencies Taxonomy 251G00000X

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Adult Companion

Nursing Service Related Providers Taxonomy 372600000X Licence 500439

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Personal Care Attendant

Nursing Service Related Providers Taxonomy 3747P1801X Licence 500439

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Registry record

NPI: 1639992407
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Nov 2024
Record last updated: 1 Nov 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.