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Irene Mack
Attendant Care Provider in West Memphis, Arkansas
NPI 1497038699

Irene Mack is an Attendant Care Provider based in West Memphis, AR and is specialized in Attendant Care Provider. Irene Mack practices in West Memphis, AR. The NPI Number for Irene Mack is 1497038699 and holds a License No. (Arkansas).

The current practice location address for Irene Mack is 225 N 5Th St, West Memphis, AR and can be reached out via phone at 870-735-2007 and via fax at 870-735-2025.

Location: 225 N 5Th St, West Memphis, AR, 72301-3212
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497038699
Provider Name
Irene Mack
Credential
Provider Entity Type
Individual
Gender
Female
Address
225 N 5Th St, West Memphis, AR, 72301-3212
Phone Number
870-735-2007
Fax Number
870-735-2025
Provider Enumeration Date
09/23/2011
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
H445614 05 TN
184245732 05 AR
institution
Provider Business Practice Location Address Details
Address
225 N 5Th St
City
West Memphis
State
Arkansas
Zip
72301-3212
Phone Number
870-735-2007
Fax Number
870-735-2025
person
Provider Business Mailing Address Details
Address
225 N 5Th St
City
West Memphis
State
Arkansas
Zip
72301-3212
Phone Number
870-735-2007
Fax Number
870-735-2025
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Attendant Care Provider
Taxonomy
3747A0650X
License No.
()
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.
person
Provider's Taxonomy Details 2
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Personal Care Attendant
Taxonomy
3747P1801X
License No.
253Z00000X (Arkansas)
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
person
Provider's Taxonomy Details 3
Type
Nursing Service Related Providers
Classification
Homemaker
Speciality
-
Taxonomy
376J00000X
License No.
()
Definition
An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.
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