Individual provider · Type 1 NPI
Mary Ann Henderson
Attendant Care Provider · Jackson, MS
Practice location
339 Mason Blvd
Jackson, MS 39212-5151
Mailing address
2811 Ridgeland Dr
Jackson, MS 39212-2516
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Attendant Care Provider Primary | 3747A0650X | None listed |
Attendant Care Provider: An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
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About NPI 1699326843
Mary Ann Henderson's National Provider Identifier is 1699326843, issued on Sep 27, 2019. The primary taxonomy on file is Attendant Care Provider (3747A0650X), and the practice location is in Jackson, MS. The record was last updated on Sep 27, 2019.