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Mrs. Lacie Jo Nickle, CNA
Home Health Agency in Clinton, Indiana
NPI 1407568066

Lacie Jo Nickle is a Home Health Agency based in Clinton, IN. Lacie Jo Nickle practices in Clinton, IN and has the professional credentials of CNA. The NPI Number for Lacie Jo Nickle is 1407568066 and holds a License No. (Indiana).

The current practice location address for Lacie Jo Nickle is 558 N 8Th St, Clinton, IN and can be reached out via phone at 217-499-4981.

Location: 558 N 8Th St, Clinton, IN, 47842-1851
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407568066
Provider Name
Lacie Jo Nickle
Credential
CNA
Provider Entity Type
Individual
Gender
Female
Address
558 N 8Th St, Clinton, IN, 47842-1851
Phone Number
217-499-4981
Fax Number
Provider Enumeration Date
12/14/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
558 N 8Th St
City
Clinton
State
Indiana
Zip
47842-1851
Phone Number
217-499-4981
Fax Number
person
Provider Business Mailing Address Details
Address
558 N 8Th St
City
Clinton
State
Indiana
Zip
47842-1851
Phone Number
217-499-4981
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
()
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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