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Gary Duane Pederson
Attendant Care Provider in Cleveland, Tennessee
NPI 1215581913

Gary Duane Pederson is an Attendant Care Provider based in Cleveland, TN and is specialized in Attendant Care Provider. Gary Duane Pederson practices in Cleveland, TN. The NPI Number for Gary Duane Pederson is 1215581913 and holds a License No. (Tennessee).

The current practice location address for Gary Duane Pederson is 111 Deer Trl Nw, Cleveland, TN and can be reached out via phone at 423-331-0501. You can also correspond with Gary Duane Pederson through the mailing address at 111 DEER TRL NW, CLEVELAND, TN - 37312-1110 (mailing address contact number: 423-331-0501).

Location: 111 Deer Trl Nw, Cleveland, TN, 37312-1110
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215581913
Provider Name
Gary Duane Pederson
Credential
Provider Entity Type
Individual
Gender
Male
Address
111 Deer Trl Nw, Cleveland, TN, 37312-1110
Phone Number
423-331-0501
Fax Number
Provider Enumeration Date
07/31/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
111 Deer Trl Nw
City
Cleveland
State
Tennessee
Zip
37312-1110
Phone Number
423-331-0501
Fax Number
person
Provider Business Mailing Address Details
Address
111 Deer Trl Nw
City
Cleveland
State
Tennessee
Zip
37312-1110
Phone Number
423-331-0501
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Attendant Care Provider
Taxonomy
3747A0650X
License No.
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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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