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Dynisha S Boom
Adult Companion in Tallahassee, Florida
NPI 1497212781

Dynisha S Boom is an Adult Companion based in Tallahassee, FL. Dynisha S Boom practices in Tallahassee, FL. The NPI Number for Dynisha S Boom is 1497212781 and holds a License No. 235416 (Florida).

The current practice location address for Dynisha S Boom is 2000 N Meridian Rd Apt 265, Tallahassee, FL and can be reached out via phone at 850-519-1294. You can also correspond with Dynisha S Boom through the mailing address at 2000 N MERIDIAN RD APT 265, TALLAHASSEE, FL - 32303-4950 (mailing address contact number: 850-519-1294).

Location: 2000 N Meridian Rd Apt 265, Tallahassee, FL, 32303-4950
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497212781
Provider Name
Dynisha S Boom
Credential
Provider Entity Type
Individual
Gender
Female
Address
2000 N Meridian Rd Apt 265, Tallahassee, FL, 32303-4950
Phone Number
850-519-1294
Fax Number
Provider Enumeration Date
02/22/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2000 N Meridian Rd Apt 265
City
Tallahassee
State
Florida
Zip
32303-4950
Phone Number
850-519-1294
Fax Number
person
Provider Business Mailing Address Details
Address
2000 N Meridian Rd Apt 265
City
Tallahassee
State
Florida
Zip
32303-4950
Phone Number
850-519-1294
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Adult Companion
Speciality
-
Taxonomy
372600000X
License No.
235416 (Florida)
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.
person
Provider's Taxonomy Details 2
Type
Nursing Service Related Providers
Classification
Homemaker
Speciality
-
Taxonomy
376J00000X
License No.
235416 (Florida)
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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