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Ebony West
Personal Care Attendant in South Bend, Indiana
NPI 1164179461

Ebony West is a Personal Care Attendant based in South Bend, IN and is specialized in Personal Care Attendant. Ebony West practices in South Bend, IN. The NPI Number for Ebony West is 1164179461 and holds a License No. 21-015359-1 (Indiana).

The current practice location address for Ebony West is 5122 Cedarwood Ln, South Bend, IN and can be reached out via phone at 574-904-4212.

Location: 5122 Cedarwood Ln, South Bend, IN, 46619-1607
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164179461
Provider Name
Ebony West
Credential
Provider Entity Type
Individual
Gender
Female
Address
5122 Cedarwood Ln, South Bend, IN, 46619-1607
Phone Number
574-904-4212
Fax Number
Provider Enumeration Date
03/07/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5122 Cedarwood Ln
City
South Bend
State
Indiana
Zip
46619-1607
Phone Number
574-904-4212
Fax Number
person
Provider Business Mailing Address Details
Address
5122 Cedarwood Ln
City
South Bend
State
Indiana
Zip
46619-1607
Phone Number
574-904-4212
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Personal Care Attendant
Taxonomy
3747P1801X
License No.
21-015359-1 (Indiana)
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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