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NPI Profile for NICOLLETTE S CLARK in MONTICELLO, MS.
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 |
| NPI # | 1831746817 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 08/23/2019 | |
| Last updated | 08/23/2019 - About 7 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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NICOLLETTE S CLARK