Individual provider · Type 1 NPI

Susan Ezra, RN

Adult Companion · San Anselmo, CA

NPI number 1295069615 Active

Practice location

130 Greenfield Ave
San Anselmo, CA 94960-2449

Mailing address

80 Taylor Dr
Fairfax, CA 94930-1237

Specialties and licenses

TaxonomyCodeLicense
Adult Companion Primary 372600000X263906 (CA)

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.

6 other providers at this address

About NPI 1295069615

Susan Ezra, RN's National Provider Identifier is 1295069615, issued on Oct 1, 2009. The primary taxonomy on file is Adult Companion (372600000X), and the practice location is in San Anselmo, CA. The record was last updated on Oct 1, 2009.