Shannon, Tatanasika Lavonne

Shannon, Tatanasika Lavonne is an sole proprietor health care provider with primary practice located at 411 Soft Winds Village Dr , Rock Hill SC 29730-7642. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Respite Care Facility / Respite Care, Agencies / Case Management. Agencies / Case Management is her primary health care specialty. Shannon, Tatanasika Lavonne can be contacted via phone (704) 264-6045.

Contact Information

Primary practice address
411 Soft Winds Village Dr Rock Hill SC 29730-7642
Phone: (704) 264-6045
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X
Respite Care Facility / Respite Care 385H00000X
Agencies / Case Management 251B00000X

Profile Details

NPI number 1902326010
LBN Legal business name Shannon, Tatanasika Lavonne
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 21st, 2017
Last updated Jun 21st, 2017 - about 9 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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