Individual provider · Type 1 NPI

Carolyn Dianne Smith

Attendant Care Provider · Gulfport, MS

NPI number 1245889773 Active

Practice location

14077 Felton Rd
Gulfport, MS 39503-5131

Other practice locations

  • 14077 Felton Rd, Gulfport, MS 39503-5131 · (623) 271-4367
  • 14077 Felton Rd, Gulfport, MS 39503-5131 · (623) 271-4367

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 1245889773

Carolyn Dianne Smith's National Provider Identifier is 1245889773, issued on Sep 6, 2019. The primary taxonomy on file is Attendant Care Provider (3747A0650X), and the practice location is in Gulfport, MS. The record was last updated on Sep 6, 2019.