Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RODERICK JOSEPH SHANKS SR.
Active Sole ProprietorRODERICK JOSEPH SHANKS SR. is a In Home Supportive Care Agency healthcare provider located in BILOXI, Mississippi. NPI 1548813272 is currently active in the NPPES registry. Verify at CMS.
In Home Supportive Care Agency · BILOXI, MS
Registration Details
- NPI Number
- 1548813272
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 22, 2019 (7.0951633375576 yrs)
- Last Updated
- Jul 22, 2019
- License
-
4505 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1636 N POPPS FERRY RD # A2 & A4BILOXI, MS, 395322217Browse MS providers · Browse ZIP 39532
- Phone
- 2289677991
- Fax
- 2289677999
- Primary Specialty
-
In Home Supportive Care Agency
253Z00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.