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Irene Fay Lucious
Attendant Care Provider in Victorville, California
NPI 1215588454

Irene Fay Lucious is an Attendant Care Provider based in Victorville, CA and is specialized in Attendant Care Provider. Irene Fay Lucious practices in Victorville, CA. The NPI Number for Irene Fay Lucious is 1215588454 and holds a License No. (California).

The current practice location address for Irene Fay Lucious is 14072 Mare Ln, Victorville, CA and can be reached out via phone at 760-403-6079.

Location: 14072 Mare Ln, Victorville, CA, 92394-7527
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215588454
Provider Name
Irene Fay Lucious
Credential
Provider Entity Type
Individual
Gender
Female
Address
14072 Mare Ln, Victorville, CA, 92394-7527
Phone Number
760-403-6079
Fax Number
Provider Enumeration Date
09/27/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
14072 Mare Ln
City
Victorville
State
California
Zip
92394-7527
Phone Number
760-403-6079
Fax Number
person
Provider Business Mailing Address Details
Address
14072 Mare Ln
City
Victorville
State
California
Zip
92394-7527
Phone Number
760-403-6079
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Attendant Care Provider
Taxonomy
3747A0650X
License No.
()
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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