Individual provider · Type 1 NPI

Robbie McCullough Iv

Adult Companion · Coppell, TX

NPI number 1457724460 Active

Practice location

1501 Cuttingham Ct
Coppell, TX 75019-3733

Mailing address

6600 Lbj Fwy, Suite 188
Dallas, TX 75240-6514

Specialties and licenses

TaxonomyCodeLicense
Adult Companion Primary 372600000X47-4733195 (TX)

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 1457724460

Robbie McCullough Iv's National Provider Identifier is 1457724460, issued on Nov 12, 2015. The primary taxonomy on file is Adult Companion (372600000X), and the practice location is in Coppell, TX. The record was last updated on Nov 12, 2015.