Organization · Type 2 NPI

Davis Jackson Medical Assist Tean Lee

Adult Companion · St. Paul, MN

NPI number 1114528973 Active

Practice location

6449 Ipth Dr.
St. Paul, MN 55725-1130

Fax (651) 286-2994

Mailing address

1321 E. 78th Street Apt. 114
Bloomington, MN 55425-1114

Specialties and licenses

TaxonomyCodeLicense
Chore Provider 372500000XNone listed
Adult Companion Primary 372600000XNone listed
Day Training/Habilitation Specialist 373H00000XNone listed
Personal Care Attendant 3747P1801XNone listed
Homemaker 376J00000XNone 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 1114528973

Davis Jackson Medical Assist Tean Lee's National Provider Identifier is 1114528973, issued on Nov 6, 2020. The primary taxonomy on file is Adult Companion (372600000X), and the practice location is in St. Paul, MN. The record was last updated on Nov 6, 2020.