Dan Dale Kelly is an Adult Companion based in Shady Cove, OR. Dan Dale Kelly practices in Shady Cove, OR. The NPI Number for Dan Dale Kelly is 1285952101 and holds a License No. (Oregon).
The current practice location address for Dan Dale Kelly is 120 Birch St, Shady Cove, OR and can be reached out via phone at 541-878-2429.
Location: 120 Birch St, Shady Cove, OR, 97539
Provider Profile Details
NPI Number
1285952101
Provider Name
Dan Dale Kelly
Credential
Provider Entity Type
Individual
Gender
Male
Address
120 Birch St, Shady Cove, OR, 97539
Phone Number
541-878-2429
Fax Number
Provider Enumeration Date
05/17/2010
Last Update Date
03/09/2024
Provider Business Practice Location Address Details
Address
120 Birch St
City
State
Zip
97539
Phone Number
541-878-2429
Fax Number
Provider Business Mailing Address Details
Address
120 Birch St
City
State
Zip
97539
Phone Number
541-878-2429
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
License No.
()
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
Provider's Taxonomy Details 2
Type
Nursing Service Related Providers
Classification
Chore Provider
Speciality
-
Taxonomy
License No.
()
Definition
An individual who provides home maintenance services required to sustain a safe, sanitary living environment for individuals who because of age or disabilities is unable to perform the activities. These services include heavy household chores such as washing floors, windows, and walls; tacking down loose rugs and tiles; and moving heavy items of furniture in order to provide safe access and egress.
Provider's Taxonomy Details 3
Type
Nursing Service Related Providers
Classification
Adult Companion
Speciality
-
Taxonomy
License No.
()
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.
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