Individual provider · Type 1 NPI

Lillian Decarla Roberson

Attendant Care Provider · Harrisville, MS

NPI number 1003777434 Active

Practice location

172 Dixon Rd
Harrisville, MS 39082-4400

Other practice locations

  • 1373 Bridgeport Rd, Pinola, MS 39149-3076 · (769) 428-9039

Specialties and licenses

TaxonomyCodeLicense
Attendant Care Provider Primary 3747A0650X1003777434 (MS)

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.

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About NPI 1003777434

Lillian Decarla Roberson's National Provider Identifier is 1003777434, issued on Nov 24, 2025. The primary taxonomy on file is Attendant Care Provider (3747A0650X), and the practice location is in Harrisville, MS. The record was last updated on Dec 1, 2025.