Shannon Radke
Shannon Radke is a Personal Care Attendant in Grand Rapids, Michigan. Registered with an NPI since 2019.
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
200 Jefferson Ave SE Ste 1000Grand Rapids, MI 49503-4502
Phone: (616) 685-3358
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community Health Worker (primary) | Taxonomy 172V00000X |
|---|---|
| Personal Care Attendant | Taxonomy 3747P1801X |
Record details
| NPI number | 1952945008 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | November 1, 2019 |
| Last updated in NPPES | October 31, 2024 |
| Certification date | October 31, 2024 |
| Mailing address | 200 Jefferson Ave Se Ste 1000, Grand Rapids, MI 49503-4502 |
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