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Carlissa Avery
Attendant Care Provider in Prince George, Virginia
NPI 1467215897

Carlissa Avery is an Attendant Care Provider based in Petersburg, VA and is specialized in Attendant Care Provider. Carlissa Avery practices in Prince George, VA. The NPI Number for Carlissa Avery is 1467215897 and holds a License No. (Virginia).

The current practice location address for Carlissa Avery is 7516 Brookshire Dr, Prince George, VA and can be reached out via phone at 313-828-2399.

Location: 7516 Brookshire Dr, Prince George, VA, 23803-5206
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467215897
Provider Name
Carlissa Avery
Credential
Provider Entity Type
Individual
Gender
Female
Address
7516 Brookshire Dr, Prince George, VA, 23803-5206
Phone Number
313-828-2399
Fax Number
Provider Enumeration Date
01/30/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7516 Brookshire Dr
City
Prince George
State
Virginia
Zip
23875-3145
Phone Number
313-828-2399
Fax Number
person
Provider Business Mailing Address Details
Address
7516 Brookshire Dr
City
Prince George
State
Virginia
Zip
23875-3145
Phone Number
313-828-2399
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Attendant Care Provider
Taxonomy
3747A0650X
License No.
(Virginia)
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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