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SHELLEY BHOWMICK
>> Home Health Aide >> Nursing Service Related ProvidersRegistrant NPI Number: 1639761539
Individual Registrant: SHELLEY BHOWMICK
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
800 NE 1ST ST BELLE GLADE, FL 33430-2012 US
Tel: 561-225-3245 Fax: --
Tel: 561-225-3245 Fax: --
Contact information for business:
800 NE 1ST ST BELLE GLADE, FL 33430-2012 US
Tel: 305-684-7557 Fax: --
Tel: 305-684-7557 Fax: --
Registration Information:
NPI: 1639761539
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 374U00000X | Nursing Service Related Providers Home Health Aide | ||
| Y | 376J00000X | Nursing Service Related Providers Homemaker |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
