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Corliss Y Phillips, LPN
Adult Companion in Fort Pierce, Florida
NPI 1114597259

Corliss Y Phillips is an Adult Companion based in Fort Pierce, FL. Corliss Y Phillips practices in Fort Pierce, FL and has the professional credentials of LPN. The NPI Number for Corliss Y Phillips is 1114597259 and holds a License No. 5195534 (Florida).

The current practice location address for Corliss Y Phillips is 1903 Plover Ave Apt A, Fort Pierce, FL and can be reached out via phone at 772-940-3736.

Location: 1903 Plover Ave Apt A, Fort Pierce, FL, 34949-3446
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114597259
Provider Name
Corliss Y Phillips
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
1903 Plover Ave Apt A, Fort Pierce, FL, 34949-3446
Phone Number
772-940-3736
Fax Number
Provider Enumeration Date
06/30/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0622 05 FL
institution
Provider Business Practice Location Address Details
Address
1903 Plover Ave Apt A
City
Fort Pierce
State
Florida
Zip
34949-3446
Phone Number
772-940-3736
Fax Number
person
Provider Business Mailing Address Details
Address
1903 Plover Ave Apt A
City
Fort Pierce
State
Florida
Zip
34949-3446
Phone Number
772-940-3736
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
234020 (Florida)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
person
Provider's Taxonomy Details 2
Type
Nursing Service Related Providers
Classification
Adult Companion
Speciality
-
Taxonomy
372600000X
License No.
234020 (Florida)
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.
person
Provider's Taxonomy Details 3
Type
Nursing Service Related Providers
Classification
Homemaker
Speciality
-
Taxonomy
376J00000X
License No.
5195534 (Florida)
Definition
An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.
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