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Jerry Lewis
Attendant Care Provider in Clarksville, Arkansas
NPI 1194376178

Jerry Lewis is an Attendant Care Provider based in Clarksville, AR and is specialized in Attendant Care Provider. Jerry Lewis practices in Clarksville, AR. The NPI Number for Jerry Lewis is 1194376178 and holds a License No. (Arkansas).

The current practice location address for Jerry Lewis is 1606R W Cherry St, Clarksville, AR and can be reached out via phone at 479-979-4909.

Location: 1606R W Cherry St, Clarksville, AR, 72830-2506
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194376178
Provider Name
Jerry Lewis
Credential
Provider Entity Type
Individual
Gender
Male
Address
1606R W Cherry St, Clarksville, AR, 72830-2506
Phone Number
479-979-4909
Fax Number
Provider Enumeration Date
09/22/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1606R W Cherry St
City
Clarksville
State
Arkansas
Zip
72830-2506
Phone Number
479-979-4909
Fax Number
person
Provider Business Mailing Address Details
Address
1606R W Cherry St
City
Clarksville
State
Arkansas
Zip
72830-2506
Phone Number
479-979-4909
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Attendant Care Provider
Taxonomy
3747A0650X
License No.
()
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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