Individual provider · Type 1 NPI

Richardo Gonzales

Adult Companion · Port Huron, MI

NPI number 1154575694 Active

Practice location

1001 Military St
Port Huron, MI 48060-5416

Mailing address

5334 Gratiot Ave, Apt A
St. Clair, MI 48079-1436

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 1154575694

Richardo Gonzales's National Provider Identifier is 1154575694, issued on Nov 11, 2008. The primary taxonomy on file is Adult Companion (372600000X), and the practice location is in Port Huron, MI. The record was last updated on Nov 11, 2008.