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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 # | 1992865653 |
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| LBN Legal business name | HOME COMMUNITY BASE WAIVER - ESS | ||||||||
| Authorized official | SUZIE LASSITER - (DIRECTOR OF FACILITY) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 12/11/2006 | ||||||||
| Last updated | 08/22/2020 - About 6 years ago | ||||||||
| Identifiers |
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HOME COMMUNITY BASE WAIVER - ESS