Provider Demographics
NPI:1396260212
Name:PRAYLOW, ALMA DENISE (CNA)
Entity type:Individual
Prefix:
First Name:ALMA
Middle Name:DENISE
Last Name:PRAYLOW
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 1:156 CHIMNEY SWIFT CIR
Mailing Address - Street 2:
Mailing Address - City:CAMERON
Mailing Address - State:SC
Mailing Address - Zip Code:29030-8328
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:156 CHIMNEY SWIFT CIR
Practice Address - Street 2:
Practice Address - City:CAMERON
Practice Address - State:SC
Practice Address - Zip Code:29030-8328
Practice Address - Country:US
Practice Address - Phone:803-539-1082
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-11
Last Update Date:2017-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No251E00000XAgenciesHome Health