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.
Location: 1455 Nw 53Rd St Apt 222, Miami, FL, 33196-3238
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
Provider Business Practice Location Address Details
Address
1455 Nw 53Rd St Apt 222
City
State
Zip
33142
Phone Number
904-418-3893
Fax Number
Provider Business Mailing Address Details
Address
1455 Nw 53Rd St Apt 222
City
State
Zip
33142
Phone Number
904-418-3893
Fax Number
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
235276 (Florida)
Definition
Definition to come...
Provider's Taxonomy Details 2
Type
Nursing Service Related Providers
Classification
Adult Companion
Speciality
-
Taxonomy
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.
Provider's Taxonomy Details 3
Type
Nursing Service Related Providers
Classification
Homemaker
Speciality
-
Taxonomy
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.
Provider's Taxonomy Details 4
Type
Respite Care Facility
Classification
Respite Care
Speciality
-
Taxonomy
License No.
()
Definition
Definition to come.
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