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Nicole M Mack
Personal Care Attendant in Canton, Mississippi
NPI 1386031094

Nicole M Mack is a Personal Care Attendant based in Canton, MS and is specialized in Personal Care Attendant. Nicole M Mack practices in Canton, MS. The NPI Number for Nicole M Mack is 1386031094 and holds a License No. (Mississippi).

The current practice location address for Nicole M Mack is 618 W Academy St, Canton, MS and can be reached out via phone at 769-251-3329.

Location: 618 W Academy St, Canton, MS, 39046-4225
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386031094
Provider Name
Nicole M Mack
Credential
Provider Entity Type
Individual
Gender
Female
Address
618 W Academy St, Canton, MS, 39046-4225
Phone Number
769-251-3329
Fax Number
Provider Enumeration Date
04/20/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
618 W Academy St
City
Canton
State
Mississippi
Zip
39046-4225
Phone Number
769-251-3329
Fax Number
person
Provider Business Mailing Address Details
Address
618 W Academy St
City
Canton
State
Mississippi
Zip
39046-4225
Phone Number
769-251-3329
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.
person
Provider's Taxonomy Details 2
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Personal Care Attendant
Taxonomy
3747P1801X
License No.
()
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
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