Individual provider · Type 1 NPI
Dan Dale Kelly
Adult Companion · Shady Cove, OR
Practice location
120 Birch St
Shady Cove, OR 97539
Mailing address
PO Box 1516
Shady Cove, OR 97539
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver | 172A00000X | None listed |
| Chore Provider | 372500000X | None listed |
| 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 1285952101
Dan Dale Kelly's National Provider Identifier is 1285952101, issued on May 17, 2010. The primary taxonomy on file is Adult Companion (372600000X), and the practice location is in Shady Cove, OR. The record was last updated on May 17, 2010.