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Virginia Sue Fagan
Personal Care Attendant in Perkinston, Mississippi
NPI 1568188100

Virginia Sue Fagan is a Personal Care Attendant based in Perkinston, MS and is specialized in Personal Care Attendant. Virginia Sue Fagan practices in Perkinston, MS. The NPI Number for Virginia Sue Fagan is 1568188100 and holds a License No. (Mississippi).

The current practice location address for Virginia Sue Fagan is 29 Rester Rd, Perkinston, MS and can be reached out via phone at 228-343-3105.

Location: 29 Rester Rd, Perkinston, MS, 39573-4947
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568188100
Provider Name
Virginia Sue Fagan
Credential
Provider Entity Type
Individual
Gender
Female
Address
29 Rester Rd, Perkinston, MS, 39573-4947
Phone Number
228-343-3105
Fax Number
Provider Enumeration Date
10/17/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
29 Rester Rd
City
Perkinston
State
Mississippi
Zip
39573-4947
Phone Number
228-343-3105
Fax Number
person
Provider Business Mailing Address Details
Address
29 Rester Rd
City
Perkinston
State
Mississippi
Zip
39573-4947
Phone Number
228-343-3105
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Adult Companion
Speciality
-
Taxonomy
372600000X
License No.
(Mississippi)
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
Technician
Speciality
Personal Care Attendant
Taxonomy
3747P1801X
License No.
()
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
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