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Ms. Halley Irene Crumb, ADULTRESIDENTIAL
Attendant Care Provider in Madera, California
NPI 1164041687

Halley Irene Crumb is an Attendant Care Provider based in Campbell, CA and is specialized in Attendant Care Provider. Halley Irene Crumb practices in Madera, CA and has the professional credentials of ADULTRESIDENTIAL. The NPI Number for Halley Irene Crumb is 1164041687 and holds a License No. 6031500735 (California).

The current practice location address for Halley Irene Crumb is 16236 N Lake St, Madera, CA and can be reached out via phone at 650-461-0433.

Location: 16236 N Lake St, Madera, CA, 95008-6259
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164041687
Provider Name
Halley Irene Crumb
Credential
ADULTRESIDENTIAL
Provider Entity Type
Individual
Gender
Female
Address
16236 N Lake St, Madera, CA, 95008-6259
Phone Number
650-461-0433
Fax Number
Provider Enumeration Date
04/14/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6031500735 01 CA COMMUNITY CARE LICENSE DIVISION
institution
Provider Business Practice Location Address Details
Address
16236 N Lake St
City
Madera
State
California
Zip
93638-1615
Phone Number
650-461-0433
Fax Number
person
Provider Business Mailing Address Details
Address
16236 N Lake St
City
Madera
State
California
Zip
93638-1615
Phone Number
650-461-0433
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Attendant Care Provider
Taxonomy
3747A0650X
License No.
6031500735 (California)
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.
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