Individual provider · Type 1 NPI

Jacqueline Martin

Attendant Care Provider · Gloucester, VA

NPI number 1366030116 Active

Practice location

7861 Indian Rd
Gloucester, VA 23061-5258

Mailing address

4133 Cedar Bush Rd
Hayes, VA 23072-2611

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 1366030116

Jacqueline Martin's National Provider Identifier is 1366030116, issued on Jan 7, 2021. The primary taxonomy on file is Attendant Care Provider (3747A0650X), and the practice location is in Gloucester, VA. The record was last updated on Jan 7, 2021.