Provider Demographics
NPI:1356238547
Name:WIMBERLY, BENECIA ANJAIL (HHA)
Entity type:Individual
Prefix:
First Name:BENECIA
Middle Name:ANJAIL
Last Name:WIMBERLY
Suffix:
Gender:F
Credentials:HHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2495 W ALAMOS AVE APT 128
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93705-0709
Mailing Address - Country:US
Mailing Address - Phone:559-396-8678
Mailing Address - Fax:
Practice Address - Street 1:2495 W ALAMOS AVE APT 128
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93705-0709
Practice Address - Country:US
Practice Address - Phone:559-396-8678
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-20
Last Update Date:2025-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty