Cody, Shanell

Cody, Shanell is an sole proprietor health care provider with primary practice located at 4130 Country Club Rd S , Winter Haven FL 33881-8228. She recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Nurse's Aide, Nursing Service Related Providers / Home Health Aide. Nursing Service Related Providers / Nurse's Aide is her primary health care specialty. Cody, Shanell can be contacted via phone (863) 210-4292.

Contact Information

Primary practice address
4130 Country Club Rd S Winter Haven FL 33881-8228
Phone: (863) 210-4292
Fax: (863) 875-5348
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Nurse's Aide 376K00000X CNA87627 Florida
Nursing Service Related Providers / Home Health Aide 374U00000X 693195296 Florida
Nursing Service Related Providers / Nurse's Aide 376K00000X 693195298 Florida

Profile Details

NPI number 1245462928
LBN Legal business name Cody, Shanell
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 14th, 2009
Last updated Jun 29th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245462928 NPPES
Florida MEDICAID 002344700
Florida MEDICAID 693195296

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