Spann, Estella Joann

Spann, Estella Joann is an sole proprietor health care provider with primary practice located at 1136 Bertha Wilson Rd , Blanch NC 27212-9795. She recently has 4 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living, Mental Illness, Nursing & Custodial Care Facilities / Assisted Living, Behavioral Disturbances, Nursing & Custodial Care Facilities / Intermediate Care Facility, Mental Illness, Nursing & Custodial Care Facilities / Assisted Living Facility. Nursing & Custodial Care Facilities / Assisted Living Facility is her primary health care specialty. Spann, Estella Joann can be contacted via phone (336) 694-1878.

Contact Information

Primary practice address
1136 Bertha Wilson Rd Blanch NC 27212-9795
Phone: (336) 694-1878
Fax: (336) 694-1878
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living, Mental Illness 3104A0625X 017058 New Mexico
Nursing & Custodial Care Facilities / Assisted Living, Behavioral Disturbances 3104A0630X 017058 North Carolina
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mental Illness 310500000X 017058 North Carolina
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 017058 North Carolina

Profile Details

NPI number 1639823784
LBN Legal business name Spann, Estella Joann
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 8th, 2022
Last updated Feb 8th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639823784 NPPES
North Carolina Other 017058 FACILITY LICENSE NUMBER

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