Individual provider · Type 1 NPI

Tasha Wade

Attendant Care Provider · Memphis, TN

NPI number 1164986410 Active

Practice location

606 Huron Ave
Memphis, TN 38107-1405

Mailing address

5957 Baird Dr
Memphis, TN 38119-7302

Specialties and licenses

TaxonomyCodeLicense
Vehicle Modifications Contractor 171WV0202XNone 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 1164986410

Tasha Wade's National Provider Identifier is 1164986410, issued on Jan 30, 2019. The primary taxonomy on file is Attendant Care Provider (3747A0650X), and the practice location is in Memphis, TN. The record was last updated on Mar 13, 2019.