Lisa Thacker - Port Huron, MI

Lisa Thacker

Adult Companion in Port Huron, Michigan

NPI 1912290834

Lisa Thacker is an Adult Companion based in Wales, MI. Lisa Thacker practices in Port Huron, MI. The NPI Number for Lisa Thacker is 1912290834 and holds a License No. (Michigan).

The current practice location address for Lisa Thacker is 1001 Military St, Port Huron, MI and can be reached out via phone at 810-985-5437 and via fax at 800-248-1568.

Location: 1001 Military St, Port Huron, MI, 48027-2120

NPI Number

1912290834

Provider Name

Lisa Thacker

Credential

Provider Entity Type

Individual

Gender

Female

Address

1001 Military St, Port Huron, MI, 48027-2120

Phone Number

810-985-5437

Fax Number

800-248-1568

Provider Enumeration Date

05/25/2011

Last Update Date

03/09/2024

Identifier	Type	State	Issuer
372600000X	01	MI	ADULT COMPANION

Address

1001 Military St

City

Port Huron

State

Michigan

Zip

48060-5416

Phone Number

810-985-5437

Fax Number

800-248-1568

Address

1001 Military St

City

Port Huron

State

Michigan

Zip

48060-5416

Phone Number

810-985-5437

Fax Number

800-248-1568

Type

Nursing Service Related Providers

Classification

Adult Companion

Speciality

Taxonomy

372600000X

License No.

(Michigan)

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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