Individual provider · Type 1 NPI

Cornelius R. Mackey

Attendant Care Provider · Rio Rancho, NM

NPI number 1124755756 Active

Practice location

4706 Leon Grande Ave SE
Rio Rancho, NM 87124-1303

Mailing address

202 11th Ave NW
Rio Rancho, NM 87144-4164

Specialties and licenses

TaxonomyCodeLicense
Homemaker 376J00000XNone listed
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 1124755756

Cornelius R. Mackey's National Provider Identifier is 1124755756, issued on Aug 3, 2022. The primary taxonomy on file is Attendant Care Provider (3747A0650X), and the practice location is in Rio Rancho, NM. The record was last updated on Aug 5, 2022.