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Jonathan Mock
Attendant Care Provider in Ludowici, Georgia
NPI 1568004851

Jonathan Mock is an Attendant Care Provider based in Ludowici, GA and is specialized in Attendant Care Provider. Jonathan Mock practices in Ludowici, GA. The NPI Number for Jonathan Mock is 1568004851 and holds a License No. (Georgia).

The current practice location address for Jonathan Mock is 190 Madison Ave Ne, Ludowici, GA and can be reached out via phone at 912-271-4633.

Location: 190 Madison Ave Ne, Ludowici, GA, 31316-5610
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568004851
Provider Name
Jonathan Mock
Credential
Provider Entity Type
Individual
Gender
Male
Address
190 Madison Ave Ne, Ludowici, GA, 31316-5610
Phone Number
912-271-4633
Fax Number
Provider Enumeration Date
10/08/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
190 Madison Ave Ne
City
Ludowici
State
Georgia
Zip
31316-5610
Phone Number
912-271-4633
Fax Number
person
Provider Business Mailing Address Details
Address
190 Madison Ave Ne
City
Ludowici
State
Georgia
Zip
31316-5610
Phone Number
912-271-4633
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Attendant Care Provider
Taxonomy
3747A0650X
License No.
(Georgia)
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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