person
Mr. Reginald Dywane Byrd
Adult Companion in Havana, Florida
NPI 1629314471

Reginald Dywane Byrd is an Adult Companion based in Havana, FL. Reginald Dywane Byrd practices in Havana, FL. The NPI Number for Reginald Dywane Byrd is 1629314471 and holds a License No. AL12271 (Florida).

The current practice location address for Reginald Dywane Byrd is 328 Se 4Th St, Havana, FL and can be reached out via phone at 850-539-6282.

Location: 328 Se 4Th St, Havana, FL, 32333-2150
person
Provider Profile Details
NPI Number
1629314471
Provider Name
Reginald Dywane Byrd
Credential
Provider Entity Type
Individual
Gender
Male
Address
328 Se 4Th St, Havana, FL, 32333-2150
Phone Number
850-539-6282
Fax Number
Provider Enumeration Date
12/26/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
466375 01 FL MEDICAID ENROLLMENT FILE NUMBER
institution
Provider Business Practice Location Address Details
Address
328 Se 4Th St
City
State
Zip
32333-2150
Phone Number
850-539-6282
Fax Number
person
Provider Business Mailing Address Details
Address
328 Se 4Th St
City
State
Zip
32333-2150
Phone Number
850-539-6282
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Adult Companion
Speciality
-
Taxonomy
License No.
AL12271 (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.
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