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Nicole Wilson
In Home Supportive Care Agency in Jasper, Florida
NPI 1497296123

Nicole Wilson is a In Home Supportive Care Agency based in Jasper, FL. Nicole Wilson practices in Jasper, FL. The NPI Number for Nicole Wilson is 1497296123 and holds a License No. 234515 (Florida).

The current practice location address for Nicole Wilson is 8797 Nw 34Th Loop, Jasper, FL and can be reached out via phone at 904-699-9821.

Location: 8797 Nw 34Th Loop, Jasper, FL, 32052-6422
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497296123
Provider Name
Nicole Wilson
Credential
Provider Entity Type
Individual
Gender
Female
Address
8797 Nw 34Th Loop, Jasper, FL, 32052-6422
Phone Number
904-699-9821
Fax Number
Provider Enumeration Date
03/14/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8797 Nw 34Th Loop
City
Jasper
State
Florida
Zip
32052-6422
Phone Number
904-699-9821
Fax Number
person
Provider Business Mailing Address Details
Address
8797 Nw 34Th Loop
City
Jasper
State
Florida
Zip
32052-6422
Phone Number
904-699-9821
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
234515 (Florida)
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.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
In Home Supportive Care
Speciality
-
Taxonomy
253Z00000X
License No.
234515 (Florida)
Definition
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
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