Individual provider · Type 1 NPI

Phyllis Denise Haynes

Attendant Care Provider · Bogart, GA

NPI number 1750992913 Active

Practice location

1111 Glenwood Ln
Bogart, GA 30622-2396

Specialties and licenses

TaxonomyCodeLicense
Attendant Care Provider Primary 3747A0650XNone 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.

About NPI 1750992913

Phyllis Denise Haynes's National Provider Identifier is 1750992913, issued on Aug 12, 2020. The primary taxonomy on file is Attendant Care Provider (3747A0650X), and the practice location is in Bogart, GA. The record was last updated on Aug 12, 2020.