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Kathy Ann Goodwin
Attendant Care Provider in Moss Point, Mississippi
NPI 1205567468

Kathy Ann Goodwin is an Attendant Care Provider based in Moss Point, MS and is specialized in Attendant Care Provider. Kathy Ann Goodwin practices in Moss Point, MS. The NPI Number for Kathy Ann Goodwin is 1205567468 and holds a License No. (Mississippi).

The current practice location address for Kathy Ann Goodwin is 4206 Dantzler St, Moss Point, MS and can be reached out via phone at 228-623-2303 and via fax at 228-475-1976.

Location: 4206 Dantzler St, Moss Point, MS, 39563-2218
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205567468
Provider Name
Kathy Ann Goodwin
Credential
Provider Entity Type
Individual
Gender
Female
Address
4206 Dantzler St, Moss Point, MS, 39563-2218
Phone Number
228-623-2303
Fax Number
228-475-1976
Provider Enumeration Date
06/20/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4206 Dantzler St
City
Moss Point
State
Mississippi
Zip
39563-2218
Phone Number
228-623-2303
Fax Number
228-475-1976
person
Provider Business Mailing Address Details
Address
4206 Dantzler St
City
Moss Point
State
Mississippi
Zip
39563-2218
Phone Number
228-623-2303
Fax Number
228-475-1976
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Attendant Care Provider
Taxonomy
3747A0650X
License No.
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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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