Individual provider · Type 1 NPI

Jackie L. Moore

Adult Companion · Baton Rouge, LA

NPI number 1710455159 Active

Practice location

8550 United Plaza Blvd Ste 702
Baton Rouge, LA 70809-0200

Fax (225) 963-6688

Specialties and licenses

TaxonomyCodeLicense
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 1710455159

Jackie L. Moore's National Provider Identifier is 1710455159, issued on Nov 4, 2018. The primary taxonomy on file is Adult Companion (372600000X), and the practice location is in Baton Rouge, LA. The record was last updated on Nov 4, 2018.