Tamicka Nelson- Bobo
Home Health in Black Jack, MO. Individual provider (NPI-1).
NPI number1316558281
StatusActive
Last updated in NPPESAug 13, 2020
Details
- NPI
- 1316558281
- Entity type
- Individual (NPI-1)
- Name
- Tamicka Nelson- Bobo
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 13, 2020
- Certification date
- Aug 13, 2020
- Last updated
- Aug 13, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
| 103K00000X | Behavior Analyst | – | – | |
| 106E00000X | Assistant Behavior Analyst | – | – | |
| 106S00000X | Behavior Technician | – | – | |
| 146D00000X | Personal Emergency Response Attendant | – | – | |
| 171M00000X | Case Manager/Care Coordinator | – | – | |
| 171R00000X | Interpreter | – | – | |
| 176B00000X | Midwife | – | – | |
| 253Z00000X | In Home Supportive Care | – | – | |
| 332U00000X | Home Delivered Meals | – | – | |
| 372600000X | Adult Companion | – | – | |
| 374U00000X | Home Health Aide | – | – | |
| 376K00000X | Nurse's Aide | – | – | |
| 385H00000X | Respite Care | – | – |
Practice location
12215 Winterset DrBlack Jack, MO 63033-7333
Phone 314-629-7281
Mailing address
12215 Winterset DrBlack Jack, MO 63033-7333
Phone 314-629-7281
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All 34 Home Health Agency providers in Black Jack · All 87 providers in Black Jack
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