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Vivian Leigh Goodwin
Attendant Care Provider in Lucedale, Mississippi
NPI 1417504762

Vivian Leigh Goodwin is an Attendant Care Provider based in Lucedale, MS and is specialized in Attendant Care Provider. Vivian Leigh Goodwin practices in Lucedale, MS. The NPI Number for Vivian Leigh Goodwin is 1417504762 and holds a License No. (Mississippi).

The current practice location address for Vivian Leigh Goodwin is 7725 Jackson County Line Rd, Lucedale, MS and can be reached out via phone at 228-219-3319.

Location: 7725 Jackson County Line Rd, Lucedale, MS, 39452-4003
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417504762
Provider Name
Vivian Leigh Goodwin
Credential
Provider Entity Type
Individual
Gender
Female
Address
7725 Jackson County Line Rd, Lucedale, MS, 39452-4003
Phone Number
228-219-3319
Fax Number
Provider Enumeration Date
08/21/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7725 Jackson County Line Rd
City
Lucedale
State
Mississippi
Zip
39452-4003
Phone Number
228-219-3319
Fax Number
person
Provider Business Mailing Address Details
Address
7725 Jackson County Line Rd
City
Lucedale
State
Mississippi
Zip
39452-4003
Phone Number
228-219-3319
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Attendant Care Provider
Taxonomy
3747A0650X
License No.
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Definition
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
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