Individual provider · Type 1 NPI

Sally Jo Holloway

Adult Companion · Merritt Island, FL

NPI number 1477536050 Active

Practice location

2070 Temple Ave
Merritt Island, FL 32953-4221

Fax (321) 453-8976

Specialties and licenses

TaxonomyCodeLicense
Adult Companion Primary 372600000XNone listed
Day Training/Habilitation Specialist 373H00000XNone 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.

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About NPI 1477536050

Sally Jo Holloway's National Provider Identifier is 1477536050, issued on Nov 28, 2005. The primary taxonomy on file is Adult Companion (372600000X), and the practice location is in Merritt Island, FL. The record was last updated on Mar 30, 2011.