Individual provider · Type 1 NPI
Elda Jean Davis
Attendant Care Provider · Park Forest, IL
Practice location
208 Juniper St
Park Forest, IL 60466
Mailing address
PO Box 488
Park Forest, IL 60466
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Attendant Care Provider Primary | 3747A0650X | None listed |
Attendant Care Provider: 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.
About NPI 1003464926
Elda Jean Davis's National Provider Identifier is 1003464926, issued on Sep 4, 2019. The primary taxonomy on file is Attendant Care Provider (3747A0650X), and the practice location is in Park Forest, IL. The record was last updated on Sep 4, 2019.