Individual provider · Type 1 NPI

Jacqueline Randa

Attendant Care Provider · Hales Corners, WI

NPI number 1013594894 Active

Practice location

5155 Brandons Ct
Hales Corners, WI 53130

Mailing address

8843 Knoll Ct
Franklin, WI 53132

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 1013594894

Jacqueline Randa's National Provider Identifier is 1013594894, issued on Mar 26, 2021. The primary taxonomy on file is Attendant Care Provider (3747A0650X), and the practice location is in Hales Corners, WI. The record was last updated on Mar 26, 2021.