| Doctor Name: | SHAURNTAE THOMAS |
| NPI Number: | 1164851648 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 8462 Sumter Cir N Brooklyn Park, MN - 554452144 |
| Business Phone Number: | 7637775346 |
| Business Fax Number: | |
| Mailing Address: | 8462 Sumter Cir N, BROOKLYN PARK |
| State: | MN |
| Postal Code: | 554452144 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 11/05/2013 |
| NPI Last Update Date: | 11/05/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |