Provider Demographics
NPI:1871959411
Name:AMOS, CH'NELL
Entity type:Individual
Prefix:MS
First Name:CH'NELL
Middle Name:
Last Name:AMOS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1509 SHELLEY ST
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75069-3468
Mailing Address - Country:US
Mailing Address - Phone:214-497-4650
Mailing Address - Fax:972-547-6185
Practice Address - Street 1:1509 SHELLEY ST
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-3468
Practice Address - Country:US
Practice Address - Phone:214-497-4650
Practice Address - Fax:972-547-6185
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-12
Last Update Date:2016-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health