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John D Wallace
Adult Companion in Miami, Florida
NPI 1679900161

John D Wallace is an Adult Companion based in Miami, FL. John D Wallace practices in Miami, FL. The NPI Number for John D Wallace is 1679900161 and holds a License No. (Florida).

The current practice location address for John D Wallace is 1455 Nw 53Rd St Apt 222, Miami, FL and can be reached out via phone at 904-418-3893. You can also correspond with John D Wallace through the mailing address at 15286 SW 104TH ST APT 2-22, MIAMI, FL - 33196-3238 (mailing address contact number: 904-418-3893).

Location: 1455 Nw 53Rd St Apt 222, Miami, FL, 33196-3238
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679900161
Provider Name
John D Wallace
Credential
Provider Entity Type
Individual
Gender
Male
Address
1455 Nw 53Rd St Apt 222, Miami, FL, 33196-3238
Phone Number
904-418-3893
Fax Number
Provider Enumeration Date
09/30/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1455 Nw 53Rd St Apt 222
City
Miami
State
Florida
Zip
33142
Phone Number
904-418-3893
Fax Number
person
Provider Business Mailing Address Details
Address
1455 Nw 53Rd St Apt 222
City
Miami
State
Florida
Zip
33142
Phone Number
904-418-3893
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
235276 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Nursing Service Related Providers
Classification
Adult Companion
Speciality
-
Taxonomy
372600000X
License No.
235276 (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.
person
Provider's Taxonomy Details 3
Type
Nursing Service Related Providers
Classification
Homemaker
Speciality
-
Taxonomy
376J00000X
License No.
235276 (Florida)
Definition
An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.
person
Provider's Taxonomy Details 4
Type
Respite Care Facility
Classification
Respite Care
Speciality
-
Taxonomy
385H00000X
License No.
()
Definition
Definition to come.
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