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Lisa L Mims
Custodial Care Facility in Fuquay Varina, North Carolina
NPI 1750019725

Lisa L Mims is a Custodial Care Facility based in Fuquay Varina, NC. Lisa L Mims practices in Fuquay Varina, NC. The NPI Number for Lisa L Mims is 1750019725 and holds a License No. (North Carolina).

The current practice location address for Lisa L Mims is 504 Burton St, Fuquay Varina, NC and can be reached out via phone at 919-753-8042 and via fax at 919-762-7621.

Location: 504 Burton St, Fuquay Varina, NC, 27526-1608
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750019725
Provider Name
Lisa L Mims
Credential
Provider Entity Type
Individual
Gender
Female
Address
504 Burton St, Fuquay Varina, NC, 27526-1608
Phone Number
919-753-8042
Fax Number
919-762-7621
Provider Enumeration Date
08/09/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
504 Burton St
City
Fuquay Varina
State
North Carolina
Zip
27526-1608
Phone Number
919-753-8042
Fax Number
919-762-7621
person
Provider Business Mailing Address Details
Address
504 Burton St
City
Fuquay Varina
State
North Carolina
Zip
27526-1608
Phone Number
919-753-8042
Fax Number
919-762-7621
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
-
Taxonomy
311Z00000X
License No.
()
Definition
A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel.
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
()
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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