Healthcare Provider Details

I. General information

NPI: 1134798325
Provider Name (Legal Business Name): SHATORIA PARRISH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/22/2021
Last Update Date: 06/22/2021
Certification Date: 06/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2022 ADELAIDE BLVD
AKRON OH
44305-4333
US

IV. Provider business mailing address

2022 ADELAIDE BLVD
AKRON OH
44305-4333
US

V. Phone/Fax

Practice location:
  • Phone: 330-734-8693
  • Fax:
Mailing address:
  • Phone: 330-734-8693
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: