Provider Demographics
NPI:1679378178
Name:ATWOOD, SHONTE
Entity type:Individual
Prefix:
First Name:SHONTE
Middle Name:
Last Name:ATWOOD
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1627 CYPRESS E
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:OH
Mailing Address - Zip Code:44011-4024
Mailing Address - Country:US
Mailing Address - Phone:440-830-9622
Mailing Address - Fax:
Practice Address - Street 1:1627 CYPRESS E
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:OH
Practice Address - Zip Code:44011-4024
Practice Address - Country:US
Practice Address - Phone:440-830-9622
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-18
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health