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Tequilla Shepherd
Adult Companion in Winston Salem, North Carolina
NPI 1386049039

Tequilla Shepherd is an Adult Companion based in Winston Salem, NC. Tequilla Shepherd practices in Winston Salem, NC. The NPI Number for Tequilla Shepherd is 1386049039 and holds a License No. (North Carolina).

The current practice location address for Tequilla Shepherd is 1530 Ne 22Nd St, Winston Salem, NC and can be reached out via phone at 443-254-8361.

Location: 1530 Ne 22Nd St, Winston Salem, NC, 27105-5406
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386049039
Provider Name
Tequilla Shepherd
Credential
Provider Entity Type
Individual
Gender
Female
Address
1530 Ne 22Nd St, Winston Salem, NC, 27105-5406
Phone Number
443-254-8361
Fax Number
Provider Enumeration Date
10/23/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1530 Ne 22Nd St
City
Winston Salem
State
North Carolina
Zip
27105-5406
Phone Number
443-254-8361
Fax Number
person
Provider Business Mailing Address Details
Address
1530 Ne 22Nd St
City
Winston Salem
State
North Carolina
Zip
27105-5406
Phone Number
443-254-8361
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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