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Mrs. Melissa A Johnson Boucher
Attendant Care Provider in Saint Augustine, Florida
NPI 1154027761

Melissa A Johnson Boucher is an Attendant Care Provider based in Saint Augustine, FL and is specialized in Attendant Care Provider. Melissa A Johnson Boucher practices in Saint Augustine, FL. The NPI Number for Melissa A Johnson Boucher is 1154027761 and holds a License No. (Florida).

The current practice location address for Melissa A Johnson Boucher is 1245 Ardmore St, Saint Augustine, FL and can be reached out via phone at 631-374-9793.

Location: 1245 Ardmore St, Saint Augustine, FL, 32092-3441
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154027761
Provider Name
Melissa A Johnson Boucher
Credential
Provider Entity Type
Individual
Gender
Female
Address
1245 Ardmore St, Saint Augustine, FL, 32092-3441
Phone Number
631-374-9793
Fax Number
Provider Enumeration Date
02/06/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1245 Ardmore St
City
Saint Augustine
State
Florida
Zip
32092-3441
Phone Number
631-374-9793
Fax Number
person
Provider Business Mailing Address Details
Address
1245 Ardmore St
City
Saint Augustine
State
Florida
Zip
32092-3441
Phone Number
631-374-9793
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Attendant Care Provider
Taxonomy
3747A0650X
License No.
(Florida)
Definition
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.
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