Provider Demographics
NPI:1326243007
Name:SNIPE, SHIRLENE (HHA CERTIFICATION)
Entity Type:Individual
Prefix:
First Name:SHIRLENE
Middle Name:
Last Name:SNIPE
Suffix:
Gender:F
Credentials:HHA CERTIFICATION
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19306 KEWANEE AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44119-2770
Mailing Address - Country:US
Mailing Address - Phone:216-383-9338
Mailing Address - Fax:
Practice Address - Street 1:19306 KEWANEE AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44119-2770
Practice Address - Country:US
Practice Address - Phone:216-383-9338
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor