Shannon Black is an Adult Companion based in Kingstree, SC. Shannon Black practices in Kingstree, SC. The NPI Number for Shannon Black is 1588345383 and holds a License No. (South Carolina).
The current practice location address for Shannon Black is 7 Winchester Rd, Kingstree, SC and can be reached out via phone at 843-372-3136.
Location: 7 Winchester Rd, Kingstree, SC, 29556-5772
Provider Profile Details
NPI Number
1588345383
Provider Name
Shannon Black
Credential
Provider Entity Type
Individual
Gender
Female
Address
7 Winchester Rd, Kingstree, SC, 29556-5772
Phone Number
843-372-3136
Fax Number
Provider Enumeration Date
07/26/2023
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
7 Winchester Rd
City
State
Zip
29556-5772
Phone Number
843-372-3136
Fax Number
Provider Business Mailing Address Details
Address
7 Winchester Rd
City
State
Zip
29556-5772
Phone Number
843-372-3136
Fax Number
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Adult Companion
Speciality
-
Taxonomy
License No.
()
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.
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