Shanks, Laquanta Denitris

Shanks, Laquanta Denitris is an sole proprietor health care provider with primary practice located at 4505 Gilbert St , Jacksonville FL 32207-6707. She recently has 4 registered licenses in different health care specialties including Agencies / Home Health, Agencies / Hospice Care, Community Based, Nursing Service Related Providers / Chore Provider, Nursing Service Related Providers / Adult Companion. Nursing Service Related Providers / Adult Companion is her primary health care specialty. Shanks, Laquanta Denitris can be contacted via phone (904) 219-7791.

Contact Information

Primary practice address
4505 Gilbert St Jacksonville FL 32207-6707
Phone: (904) 219-7791
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X
Agencies / Hospice Care, Community Based 251G00000X
Nursing Service Related Providers / Chore Provider 372500000X
Nursing Service Related Providers / Adult Companion 372600000X

Profile Details

NPI number 1457852451
LBN Legal business name Shanks, Laquanta Denitris
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 24th, 2018
Last updated Jun 16th, 2018 - about 8 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 1457852451 NPPES
Florida MEDICAID 82-4168752

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