MEDICARE: MRS. SHAMEKA DOWELL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency	800685503	TN

General Provider Information

NPI Number	:	1942508924
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SHAMEKA DOWELL

Provider Business Mailing Address
First Line	:	PO BOX 70120
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37207-0120
Country	:	US
Telephone Number	:	615-593-2966
Fax Number	:	615-258-2020

Provider Business Practice Location Address
First Line	:	2422 GROVER STREET
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37207
Country	:	US
Telephone Number	:	615-593-2966
Fax Number	:	615-258-2020

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/01/2011
Last Update Date	:	03/01/2011

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