Individual provider · Type 1 NPI

Kimberly Jean Ellis-Koceja

Attendant Care Provider · Chipley, FL

NPI number 1013565399 Active

Practice location

4952 Grassy Pond Rd
Chipley, FL 32428-5547

Mailing address

4523 Northshore Rd
Lynn Haven, FL 32444-3478

Specialties and licenses

TaxonomyCodeLicense
Attendant Care Provider Primary 3747A0650XNone 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.

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About NPI 1013565399

Kimberly Jean Ellis-Koceja's National Provider Identifier is 1013565399, issued on Aug 29, 2019. The primary taxonomy on file is Attendant Care Provider (3747A0650X), and the practice location is in Chipley, FL. The record was last updated on Aug 29, 2019.