Individual provider · Type 1 NPI
Shana P. Graham, CERTIFIED NURSING AI
Adult Care Home Facility · Indianapolis, IN
NPI number
1093315095
Active
Practice location
8308 E 11th St
Indianapolis, IN 46219-4003
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse's Aide | 376K00000X | None listed |
| Adult Care Home Facility Primary | 311ZA0620X | None listed |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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About NPI 1093315095
Shana P. Graham, CERTIFIED NURSING AI's National Provider Identifier is 1093315095, issued on Oct 28, 2020. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Indianapolis, IN. The record was last updated on Oct 28, 2020.