Individual provider · Type 1 NPI

Amanda Rae Axon

Adult Companion · Port Huron, MI

NPI number 1760722599 Active

Practice location

1001 Military St
Port Huron, MI 48060-5416

Call (810) 985-5437 Map

Fax (180) 024-8156

Mailing address

10698 Metcalf Rd
Brockway, MI 48097-4511

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 1760722599

Amanda Rae Axon's National Provider Identifier is 1760722599, issued on Feb 14, 2013. The primary taxonomy on file is Adult Companion (372600000X), and the practice location is in Port Huron, MI. The record was last updated on Feb 14, 2013.