NPI Profile for BROOKE BALL in POPLAR GROVE, IL.
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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Attendant Care Provider |
3747A0650X | |||
Nursing Care |
251J00000X |
| NPI # | 1366063539 |
|
| Status | Active | |
| Credentials | CNA | |
| Entity | Individual | |
| Enumeration date | 04/29/2020 | |
| Last updated | 04/29/2020 - About 6 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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BROOKE BALL
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