Individual provider · Type 1 NPI

Mackenzie D. Flahaut

Attendant Care Provider · Belle Rive, IL

NPI number 1053071902 Active

Practice location

405 S Main St
Belle Rive, IL 62810-1228

Call (618) 316-1626 Map

Mailing address

16680 N Millikin Ln
Mount Vernon, IL 62864-7925

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 1053071902

Mackenzie D. Flahaut's National Provider Identifier is 1053071902, issued on Dec 20, 2021. The primary taxonomy on file is Attendant Care Provider (3747A0650X), and the practice location is in Belle Rive, IL. The record was last updated on Dec 20, 2021.