Individual provider · Type 1 NPI
Mary Alice Campbell, CNA
Adult Companion · Jefferson, GA
NPI number
1790408417
Active
Practice location
875 Highway 82 S
Jefferson, GA 30549-5779
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Companion Primary | 372600000X | CN0030054372 (GA) |
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.
About NPI 1790408417
Mary Alice Campbell, CNA's National Provider Identifier is 1790408417, issued on Sep 20, 2022. The primary taxonomy on file is Adult Companion (372600000X), and the practice location is in Jefferson, GA. The record was last updated on Sep 20, 2022.