Carolyn Diane Long is an Adult Companion based in Salem, UT. Carolyn Diane Long practices in Salem, UT. The NPI Number for Carolyn Diane Long is 1689349078 and holds a License No. (Utah).
The current practice location address for Carolyn Diane Long is 834 E 320 N, Salem, UT and can be reached out via phone at 801-358-9166.
Location: 834 E 320 N, Salem, UT, 84653-5535
Provider Profile Details
NPI Number
1689349078
Provider Name
Carolyn Diane Long
Credential
Provider Entity Type
Individual
Gender
Female
Address
834 E 320 N, Salem, UT, 84653-5535
Phone Number
801-358-9166
Fax Number
Provider Enumeration Date
08/09/2021
Last Update Date
03/10/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 167634594 | 01 | UT | DRIVERS LICENSE |
Provider Business Practice Location Address Details
Address
834 E 320 N
City
State
Zip
84653-5535
Phone Number
801-358-9166
Fax Number
Provider Business Mailing Address Details
Address
834 E 320 N
City
State
Zip
84653-5535
Phone Number
801-358-9166
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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