Provider Demographics
NPI:1609654672
Name:DEAN FRANKLIN, SHEENA ORLAIVIA (LPT)
Entity Type:Individual
Prefix:
First Name:SHEENA
Middle Name:ORLAIVIA
Last Name:DEAN FRANKLIN
Suffix:
Gender:F
Credentials:LPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:319 CENTER AVE # B
Mailing Address - Street 2:
Mailing Address - City:DAYTONA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32117-4203
Mailing Address - Country:US
Mailing Address - Phone:386-281-7765
Mailing Address - Fax:
Practice Address - Street 1:319 CENTER AVE # B
Practice Address - Street 2:
Practice Address - City:DAYTONA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32117-4203
Practice Address - Country:US
Practice Address - Phone:386-281-7765
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-20
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
372600000X
FLL230004008963747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No372600000XNursing Service Related ProvidersAdult Companion