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Mr. Clement Gustavous Smith, CAREGIVER
Adult Companion in Port Charlotte, Florida
NPI 1023362373

Clement Gustavous Smith is an Adult Companion based in Port Charlotte, FL. Clement Gustavous Smith practices in Port Charlotte, FL and has the professional credentials of CAREGIVER. The NPI Number for Clement Gustavous Smith is 1023362373 and holds a License No. (Florida).

The current practice location address for Clement Gustavous Smith is 3081 Jody Street, Port Charlotte, FL and can be reached out via phone at 941-764-7461 and via fax at 941-764-7461.

Location: 3081 Jody Street, Port Charlotte, FL, 33948
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023362373
Provider Name
Clement Gustavous Smith
Credential
CAREGIVER
Provider Entity Type
Individual
Gender
Male
Address
3081 Jody Street, Port Charlotte, FL, 33948
Phone Number
941-764-7461
Fax Number
941-764-7461
Provider Enumeration Date
11/07/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000957800 05 FL
institution
Provider Business Practice Location Address Details
Address
3081 Jody Street
City
Port Charlotte
State
Florida
Zip
33948
Phone Number
941-764-7461
Fax Number
941-764-7461
person
Provider Business Mailing Address Details
Address
3081 Jody Street
City
Port Charlotte
State
Florida
Zip
33948
Phone Number
941-764-7461
Fax Number
941-764-7461
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Adult Companion
Speciality
-
Taxonomy
372600000X
License No.
()
Definition
An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.
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