Individual provider · Type 1 NPI
Susan Hathaway
Attendant Care Provider · Portland, IN
Practice location
3783 West 800 South
Portland, IN 47371
Mailing address
P.o. Box 24
Portland, IN 47371
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 1093365355
Susan Hathaway's National Provider Identifier is 1093365355, issued on Sep 18, 2019. The primary taxonomy on file is Attendant Care Provider (3747A0650X), and the practice location is in Portland, IN. The record was last updated on Sep 18, 2019.