Individual provider · Type 1 NPI

Shatondrick Young

Adult Day Care Clinic/Center · Lubbock, TX

NPI number 1992458335 Active

Practice location

1105 38th St
Lubbock, TX 79412-1416

Mailing address

1416 Kingston St
Wolfforth, TX 79382-1765

Specialties and licenses

TaxonomyCodeLicense
Adult Day Care Clinic/Center Primary 261QA0600XNone listed

Adult Day Care Clinic/Center: Definition to come...

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About NPI 1992458335

Shatondrick Young's National Provider Identifier is 1992458335, issued on Jan 26, 2022. The primary taxonomy on file is Adult Day Care Clinic/Center (261QA0600X), and the practice location is in Lubbock, TX. The record was last updated on Jan 26, 2022.