Individual provider · Type 1 NPI

Juanita Gail Boughers

Attendant Care Provider · Belle Rive, IL

NPI number 1124753041 Active

Practice location

405 S Main St
Belle Rive, IL 62810-1228

Mailing address

1026 N 7th St
Mount Vernon, IL 62864-3334

Specialties and licenses

TaxonomyCodeLicense
Attendant Care Provider Primary 3747A0650XNone 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 1124753041

Juanita Gail Boughers's National Provider Identifier is 1124753041, issued on Jul 24, 2022. The primary taxonomy on file is Attendant Care Provider (3747A0650X), and the practice location is in Belle Rive, IL. The record was last updated on Jul 24, 2022.