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Teena Marie Gannon
Attendant Care Provider in South Point, Ohio
NPI 1801476940

Teena Marie Gannon is an Attendant Care Provider based in South Point, OH and is specialized in Attendant Care Provider. Teena Marie Gannon practices in South Point, OH. The NPI Number for Teena Marie Gannon is 1801476940 and holds a License No. RP582668 (Ohio).

The current practice location address for Teena Marie Gannon is 1035 County Road 1 Apt.215, South Point, OH and can be reached out via phone at 740-302-7354.

Location: 1035 County Road 1 Apt.215, South Point, OH, 45680-7382
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801476940
Provider Name
Teena Marie Gannon
Credential
Provider Entity Type
Individual
Gender
Female
Address
1035 County Road 1 Apt.215, South Point, OH, 45680-7382
Phone Number
740-302-7354
Fax Number
Provider Enumeration Date
04/13/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1022401 01 OH CHOICES
1022Q401 05 OH
institution
Provider Business Practice Location Address Details
Address
1035 County Road 1 Apt.215
City
South Point
State
Ohio
Zip
45680-7382
Phone Number
740-302-7354
Fax Number
person
Provider Business Mailing Address Details
Address
1035 County Road 1 Apt.215
City
South Point
State
Ohio
Zip
45680-7382
Phone Number
740-302-7354
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Attendant Care Provider
Taxonomy
3747A0650X
License No.
RP582668 (Ohio)
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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