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Jodi Brooks Maria Boutte, MS
Attendant Care Provider in Fate, Texas
NPI 1770108383

Jodi Brooks Maria Boutte is an Attendant Care Provider based in Fate, TX and is specialized in Attendant Care Provider. Jodi Brooks Maria Boutte practices in Fate, TX and has the professional credentials of MS. The NPI Number for Jodi Brooks Maria Boutte is 1770108383 and holds a License No. (Texas).

The current practice location address for Jodi Brooks Maria Boutte is 554 Jamestown Ln, Fate, TX and can be reached out via phone at 337-577-6298.

Location: 554 Jamestown Ln, Fate, TX, 75189-5116
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770108383
Provider Name
Jodi Brooks Maria Boutte
Credential
MS
Provider Entity Type
Individual
Gender
Female
Address
554 Jamestown Ln, Fate, TX, 75189-5116
Phone Number
337-577-6298
Fax Number
Provider Enumeration Date
06/09/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
554 Jamestown Ln
City
Fate
State
Texas
Zip
75189-5116
Phone Number
337-577-6298
Fax Number
person
Provider Business Mailing Address Details
Address
554 Jamestown Ln
City
Fate
State
Texas
Zip
75189-5116
Phone Number
337-577-6298
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Attendant Care Provider
Taxonomy
3747A0650X
License No.
(Texas)
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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