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Mrs. Shannon E Tillman, CMA
Adult Companion in Jacksonville, Florida
NPI 1245965144

Shannon E Tillman is an Adult Companion based in Jacksonville, FL. Shannon E Tillman practices in Jacksonville, FL and has the professional credentials of CMA. The NPI Number for Shannon E Tillman is 1245965144 and holds a License No. 238705 (Florida).

The current practice location address for Shannon E Tillman is 3104 W 12Th St, Jacksonville, FL and can be reached out via phone at 413-686-2639 and via fax at 904-212-1996.

Location: 3104 W 12Th St, Jacksonville, FL, 32211-0810
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245965144
Provider Name
Shannon E Tillman
Credential
CMA
Provider Entity Type
Individual
Gender
Female
Address
3104 W 12Th St, Jacksonville, FL, 32211-0810
Phone Number
413-686-2639
Fax Number
904-212-1996
Provider Enumeration Date
07/24/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3104 W 12Th St
City
Jacksonville
State
Florida
Zip
32254-1808
Phone Number
413-686-2639
Fax Number
904-212-1996
person
Provider Business Mailing Address Details
Address
3104 W 12Th St
City
Jacksonville
State
Florida
Zip
32254-1808
Phone Number
413-686-2639
Fax Number
904-212-1996
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Adult Companion
Speciality
-
Taxonomy
372600000X
License No.
238705 (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 2
Type
Nursing Service Related Providers
Classification
Homemaker
Speciality
-
Taxonomy
376J00000X
License No.
238705 (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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