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Chaz Lamar Clyburn
Adult Companion in Virginia Beach, Virginia
NPI 1346886504

Chaz Lamar Clyburn is an Adult Companion based in Virginia Beach, VA. Chaz Lamar Clyburn practices in Virginia Beach, VA. The NPI Number for Chaz Lamar Clyburn is 1346886504 and holds a License No. (Virginia).

The current practice location address for Chaz Lamar Clyburn is 5217 Shady Grove Ln, Virginia Beach, VA and can be reached out via phone at 757-800-7806.

Location: 5217 Shady Grove Ln, Virginia Beach, VA, 23462-1787
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346886504
Provider Name
Chaz Lamar Clyburn
Credential
Provider Entity Type
Individual
Gender
Male
Address
5217 Shady Grove Ln, Virginia Beach, VA, 23462-1787
Phone Number
757-800-7806
Fax Number
Provider Enumeration Date
11/22/2019
Last Update Date
03/10/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
MEBS3R6R 01 VA AETNA
institution
Provider Business Practice Location Address Details
Address
5217 Shady Grove Ln
City
Virginia Beach
State
Virginia
Zip
23462-1787
Phone Number
757-800-7806
Fax Number
person
Provider Business Mailing Address Details
Address
5217 Shady Grove Ln
City
Virginia Beach
State
Virginia
Zip
23462-1787
Phone Number
757-800-7806
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Adult Companion
Speciality
-
Taxonomy
372600000X
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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