Individual provider · Type 1 NPI
Shanika Broussard
Adult Companion · Bay St. Louis, MS
Practice location
6163 E Lamar St
Bay St. Louis, MS 39520-8267
Mailing address
1110 Cowan Rd., Suite B #2014
Gulfport, MS 39507
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Companion Primary | 372600000X | None 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.
About NPI 1265034516
Shanika Broussard's National Provider Identifier is 1265034516, issued on Nov 11, 2020. The primary taxonomy on file is Adult Companion (372600000X), and the practice location is in Bay St. Louis, MS. The record was last updated on Nov 11, 2020.