Individual provider · Type 1 NPI
Susan Luella Crockett
Attendant Care Provider · Salem, VA
Practice location
803 Craig Ave
Salem, VA 24153-2839
Mailing address
229 Union St
Salem, VA 24153-4929
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.
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About NPI 1093366700
Susan Luella Crockett's National Provider Identifier is 1093366700, issued on Sep 24, 2019. The primary taxonomy on file is Attendant Care Provider (3747A0650X), and the practice location is in Salem, VA. The record was last updated on Sep 24, 2019.