Individual provider · Type 1 NPI

Teresa Diane Green

Homemaker · Sikeston, MO

NPI number 1104154293 Active

Practice location

415 W Gladys St
Sikeston, MO 63801-2733

Fax (573) 475-9254

Specialties and licenses

TaxonomyCodeLicense
Homemaker Primary 376J00000X19920393 (MO)

Homemaker: An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.

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About NPI 1104154293

Teresa Diane Green's National Provider Identifier is 1104154293, issued on Nov 30, 2009. The primary taxonomy on file is Homemaker (376J00000X), and the practice location is in Sikeston, MO. The record was last updated on Nov 30, 2009.