Doctor Name: | VICKEY HODGE |
NPI Number: | 1285001347 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 108089 S 4670 Rd Sallisaw, OK - 749558587 |
Business Phone Number: | 9187755525 |
Business Fax Number: | 9187755349 |
Mailing Address: | 108089 S 4670 Rd, SALLISAW |
State: | OK |
Postal Code: | 749558587 |
Phone Number: | 9187755525 |
Fax Number: | 9187755349 |
NPI Enumeration Date: | 08/25/2015 |
NPI Last Update Date: | 08/25/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3747A0650X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Nursing Service Related Providers |
Taxonomy Classification: | Technician |
Taxonomy Specialization: | Attendant Care Provider |
Taxonomy Definition: | 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. |