Individual provider · Type 1 NPI
Andrea Ellis
Attendant Care Provider · Jackson, MS
Practice location
4144 Del Rosa Dr
Jackson, MS 39206-4732
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Attendant Care Provider Primary | 3747A0650X | None 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 1376216861
Andrea Ellis's National Provider Identifier is 1376216861, issued on Jul 29, 2021. The primary taxonomy on file is Attendant Care Provider (3747A0650X), and the practice location is in Jackson, MS. The record was last updated on Jul 29, 2021.