Shanta Rebekka Taylor Lewis

NPI #1629855713 in Mansfield, Ohio

Provider Information

NPI Number: 1629855713
Entity Type: Individual
Name: Shanta Rebekka Taylor Lewis
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Respite Care
Enumeration Date: Sep 12, 2023
Last Updated: Sep 12, 2023

Practice Location

Address: 581 MORRISON AVE
City: Mansfield
State: Ohio
ZIP Code: 44904-1529
Phone: (937) 723-0841

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Respite Care	385H00000X	Primary

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