Individual provider · Type 1 NPI
Jack Lee Nicholson I
Attendant Care Provider · Lathrop, CA
Practice location
460 Aztec Ln
Lathrop, CA 95330-9142
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Attendant Care Provider | 3747A0650X | None listed |
| 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.
Other attendant care provider providers in Lathrop
About NPI 1831748318
Jack Lee Nicholson I's National Provider Identifier is 1831748318, issued on Sep 8, 2019. The primary taxonomy on file is Attendant Care Provider (3747A0650X), and the practice location is in Lathrop, CA. The record was last updated on Sep 8, 2019.