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Stalone Wung Tem
Personal Care Attendant in Laurel, Maryland
NPI 1154049450

Stalone Wung Tem is a Personal Care Attendant based in Laurel, MD and is specialized in Personal Care Attendant. Stalone Wung Tem practices in Laurel, MD. The NPI Number for Stalone Wung Tem is 1154049450 and holds a License No. (Maryland).

The current practice location address for Stalone Wung Tem is 11505 Duckettown Rd, Laurel, MD and can be reached out via phone at 505-557-7764.

Location: 11505 Duckettown Rd, Laurel, MD, 20708-9708
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154049450
Provider Name
Stalone Wung Tem
Credential
Provider Entity Type
Individual
Gender
Male
Address
11505 Duckettown Rd, Laurel, MD, 20708-9708
Phone Number
505-557-7764
Fax Number
Provider Enumeration Date
08/22/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
70344063 05 DC
000000001 05 DC
institution
Provider Business Practice Location Address Details
Address
11505 Duckettown Rd
City
Laurel
State
Maryland
Zip
20708-9708
Phone Number
505-557-7764
Fax Number
person
Provider Business Mailing Address Details
Address
11505 Duckettown Rd
City
Laurel
State
Maryland
Zip
20708-9708
Phone Number
505-557-7764
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Personal Care Attendant
Taxonomy
3747P1801X
License No.
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Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
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