National Provider Identifier Database

MAIALISA BENNETT
Attendant Care Provider

An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.


Contact Information

MAIALISA BENNETT
2290 ROBB ST
IDAHO FALLS, ID83402-2969
Phone: 208-520-5406
Fax:
Website:
Specialty Taxonomy Code
* Attendant Care Provider 3747A0650X

* Indicates primary specialty

NPI Profile & details for MAIALISA BENNETT

NPI Number 1265211353
Credentials
Entity Individual
Enumeration date 09/27/2023
Last updated 09/27/2023 - About 3 years ago
Sole proprietor1 No
Identifiers n/a
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for MAIALISA BENNETT

There are currently no reviews for MAIALISA BENNETT


NPIdb - Home
v2.201