Individual provider · Type 1 NPI

Dynisha S. Boom

Adult Companion · Tallahassee, FL

NPI number 1497212781 Active

Practice location

2000 N Meridian Rd Apt 265
Tallahassee, FL 32303-4950

Call (850) 519-1294 Map

Specialties and licenses

TaxonomyCodeLicense
Homemaker 376J00000X235416 (FL)
Adult Companion Primary 372600000X235416 (FL)

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 1497212781

Dynisha S. Boom's National Provider Identifier is 1497212781, issued on Feb 22, 2019. The primary taxonomy on file is Adult Companion (372600000X), and the practice location is in Tallahassee, FL. The record was last updated on Feb 22, 2019.