MR. STACY LEN WHITZELL NPI 1508240565

NPI Information

MR. Stacy Len Whitzell is an adult companion in Chattanooga, TN. The provider is 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. MR. Stacy Len Whitzell NPI is 1508240565. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5708 UPTAIN RD STE 1100
CHATTANOOGA, TN
ZIP 37411-687
Phone: (423) 847-2422

The enumeration date for this NPI number is 7/19/2015 and was last updated on 7/19/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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