Individual provider · Type 1 NPI

Maxwell Collimore Pierre I

Adult Companion · Covington, GA

NPI number 1639417355 Active

Practice location

2680 Highway 81 S
Covington, GA 30016-7514

Fax (770) 808-4391

Mailing address

5824 Windermere Ct
Lithonia, GA 30038-6121

Specialties and licenses

TaxonomyCodeLicense
Case Management Registered Nurse 163WC0400XRN188675 (GA)
Adult Companion Primary 372600000XNone 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 1639417355

Maxwell Collimore Pierre I's National Provider Identifier is 1639417355, issued on Jan 30, 2013. The primary taxonomy on file is Adult Companion (372600000X), and the practice location is in Covington, GA. The record was last updated on Jan 30, 2013.