Individual provider · Type 1 NPI
Maquia Massirie Hall-Booth, LPN
Child Physical Disabilities Respite Care · Clarksville, TN
NPI number
1871050104
Active
Practice location
3129 Westchester Dr
Clarksville, TN 37043-3804
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child Physical Disabilities Respite Care Primary | 385HR2065X | 0219037 (TN) |
Child Physical Disabilities Respite Care: A facility or distinct part of a facility that providers short term, residential care to children, diagnosed with complex or profound disabilities as respite for the regular caregivers.
About NPI 1871050104
Maquia Massirie Hall-Booth, LPN's National Provider Identifier is 1871050104, issued on Feb 22, 2019. The primary taxonomy on file is Child Physical Disabilities Respite Care (385HR2065X), and the practice location is in Clarksville, TN. The record was last updated on Feb 22, 2019.