Tamara Gleeton

Individual provider Active NPI Home Health Aide · Sardis, MS

NPI 1154087625 · NPPES record last updated Nov 9, 2021

Key facts

NPI
1154087625
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Aide 374U00000X
Practice address
310 Eq Gleeton
Sardis, MS 38666-5683
Phone
(901) 232-4614
NPI assigned
Nov 9, 2021
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X Yes

Addresses

Primary practice location

310 Eq Gleeton
Sardis, MS 38666-5683

Mailing address

310 Eq Gleeton
Sardis, MS 38666-5683
Phone (901) 232-4614

Other providers in Sardis, MS

All providers in Sardis, MS · Home Health Aide in Mississippi

Sources for this page

Verify at the official NPI Registry.