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Adriene Alisa Hickerson
Attendant Care Provider in Louisville, Kentucky
NPI 1710538681

Adriene Alisa Hickerson is an Attendant Care Provider based in Louisville, KY and is specialized in Attendant Care Provider. Adriene Alisa Hickerson practices in Louisville, KY. The NPI Number for Adriene Alisa Hickerson is 1710538681 and holds a License No. (Kentucky).

The current practice location address for Adriene Alisa Hickerson is 301 Axis Dr Apt 207, Louisville, KY and can be reached out via phone at 502-365-0698.

Location: 301 Axis Dr Apt 207, Louisville, KY, 40206-0127
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Provider Profile Details
NPI Number
1710538681
Provider Name
Adriene Alisa Hickerson
Credential
Provider Entity Type
Individual
Gender
Female
Address
301 Axis Dr Apt 207, Louisville, KY, 40206-0127
Phone Number
502-365-0698
Fax Number
Provider Enumeration Date
09/23/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
H92436703 01 KY 3747A0650X
institution
Provider Business Practice Location Address Details
Address
301 Axis Dr Apt 207
City
State
Zip
40206-0127
Phone Number
502-365-0698
Fax Number
person
Provider Business Mailing Address Details
Address
301 Axis Dr Apt 207
City
State
Zip
40206-0127
Phone Number
502-365-0698
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Attendant Care Provider
Taxonomy
License No.
()
Definition
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
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