Shannon Anderson

NPI #1609471176 in Jerusalem, Ohio

Provider Information

NPI Number: 1609471176
Entity Type: Individual
Name: Shannon Anderson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Homemaker
Enumeration Date: Dec 2, 2020
Last Updated: Dec 2, 2020

Practice Location

Address: 52205 BARNES ST
City: Jerusalem
State: Ohio
ZIP Code: 43747-9662
Phone: (740) 827-4247

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X
Supports Brokerage	251X00000X
In Home Supportive Care	253Z00000X
Private Vehicle	347C00000X
Homemaker	376J00000X	Primary

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