Provider Demographics
NPI:1376243568
Name:GEORGE, SHAWN CURTIS (BSW)
Entity Type:Individual
Prefix:MR
First Name:SHAWN
Middle Name:CURTIS
Last Name:GEORGE
Suffix:
Gender:M
Credentials:BSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 CAROLINE AVE
Mailing Address - Street 2:
Mailing Address - City:HUBBARD
Mailing Address - State:OH
Mailing Address - Zip Code:44425-1533
Mailing Address - Country:US
Mailing Address - Phone:330-766-2511
Mailing Address - Fax:
Practice Address - Street 1:201 CAROLINE AVE
Practice Address - Street 2:
Practice Address - City:HUBBARD
Practice Address - State:OH
Practice Address - Zip Code:44425-1533
Practice Address - Country:US
Practice Address - Phone:330-766-2511
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-06
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker