Provider Demographics
NPI:1902261415
Name:CHANDLER, SEANQUANEE DENAZIA (HHA)
Entity type:Individual
Prefix:
First Name:SEANQUANEE
Middle Name:DENAZIA
Last Name:CHANDLER
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 1:182 PIAVE ST
Mailing Address - Street 2:
Mailing Address - City:HAINES CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33844-7762
Mailing Address - Country:US
Mailing Address - Phone:863-308-9192
Mailing Address - Fax:
Practice Address - Street 1:182 PIAVE ST
Practice Address - Street 2:
Practice Address - City:HAINES CITY
Practice Address - State:FL
Practice Address - Zip Code:33844-7762
Practice Address - Country:US
Practice Address - Phone:863-934-1700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-28
Last Update Date:2022-07-29
Deactivation Date:2020-01-11
Deactivation Code:
Reactivation Date:2020-05-20
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide