Provider Demographics
NPI:1861231557
Name:CHEEKS, YVONNE DENISE
Entity type:Individual
Prefix:
First Name:YVONNE
Middle Name:DENISE
Last Name:CHEEKS
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 1:6010 SUMMER TRACE LN
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27105-9124
Mailing Address - Country:US
Mailing Address - Phone:336-655-7831
Mailing Address - Fax:336-661-3059
Practice Address - Street 1:C &G GROUP HOME, LLC
Practice Address - Street 2:508 E. 15TH STREET
Practice Address - City:WINSTON-SALEM
Practice Address - State:NC
Practice Address - Zip Code:27105
Practice Address - Country:US
Practice Address - Phone:336-655-7831
Practice Address - Fax:336-661-3059
Is Sole Proprietor?:No
Enumeration Date:2024-05-22
Last Update Date:2024-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide