Provider Demographics
NPI:1144418989
Name:CHANCE, LA'KESIA APRIL-SAMOAN (CNA)
Entity Type:Individual
Prefix:
First Name:LA'KESIA
Middle Name:APRIL-SAMOAN
Last Name:CHANCE
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 MOUNTIANEER LN
Mailing Address - Street 2:
Mailing Address - City:ROSEBORO
Mailing Address - State:NC
Mailing Address - Zip Code:28382-8966
Mailing Address - Country:US
Mailing Address - Phone:910-237-7651
Mailing Address - Fax:910-237-7651
Practice Address - Street 1:114 MOUNTIANEER LN
Practice Address - Street 2:
Practice Address - City:ROSEBORO
Practice Address - State:NC
Practice Address - Zip Code:28382-8966
Practice Address - Country:US
Practice Address - Phone:910-237-7651
Practice Address - Fax:910-237-7651
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-05
Last Update Date:2007-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC320032374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide