Provider Demographics
NPI:1093366213
Name:BINION, LATONYA SHONTAE
Entity Type:Individual
Prefix:MRS
First Name:LATONYA
Middle Name:SHONTAE
Last Name:BINION
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:165 W SOUTH ST STE 207
Mailing Address - Street 2:
Mailing Address - City:HERNANDO
Mailing Address - State:MS
Mailing Address - Zip Code:38632-2266
Mailing Address - Country:US
Mailing Address - Phone:901-232-4114
Mailing Address - Fax:662-932-4230
Practice Address - Street 1:165 W SOUTH ST STE 207
Practice Address - Street 2:
Practice Address - City:HERNANDO
Practice Address - State:MS
Practice Address - Zip Code:38632-2266
Practice Address - Country:US
Practice Address - Phone:901-232-4114
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-28
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS251E00000X
374U00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No374U00000XNursing Service Related ProvidersHome Health Aide