Individual provider · Type 1 NPI
John D. Wallace
Homemaker · Miami, FL
NPI number
1679900161
Active
Practice location
1455 NW 53rd St Apt 222
Miami, FL 33142
Mailing address
15286 SW 104th St Apt 2-22
Miami, FL 33196-3238
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Respite Care | 385H00000X | 235276 (FL) |
| Homemaker Primary | 376J00000X | 235276 (FL) |
| Adult Companion | 372600000X | 235276 (FL) |
Homemaker: An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.
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About NPI 1679900161
John D. Wallace's National Provider Identifier is 1679900161, issued on Sep 30, 2013. The primary taxonomy on file is Homemaker (376J00000X), and the practice location is in Miami, FL. The record was last updated on Jun 29, 2018.