Individual provider · Type 1 NPI

Jack Nelson

Adult Companion · Lebanon, NH

NPI number 1114140159 Active

Practice location

9 Hanover St, Suite 2
Lebanon, NH 03766-1312

Mailing address

85 Mechanic St, Suite 360
Lebanon, NH 03766-1537

Specialties and licenses

TaxonomyCodeLicense
Adult Companion Primary 372600000XNone listed

Adult Companion: An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.

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About NPI 1114140159

Jack Nelson's National Provider Identifier is 1114140159, issued on Apr 10, 2007. The primary taxonomy on file is Adult Companion (372600000X), and the practice location is in Lebanon, NH. The record was last updated on Jul 8, 2007.