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Mrs. Roberta Rae Short, ETC
Personal Care Attendant in Parker, Arizona
NPI 1225255987

Roberta Rae Short is a Personal Care Attendant based in Parker, AZ and is specialized in Personal Care Attendant. Roberta Rae Short practices in Parker, AZ and has the professional credentials of ETC. The NPI Number for Roberta Rae Short is 1225255987 and holds a License No. (Arizona).

The current practice location address for Roberta Rae Short is 12033 Agency Rd, Parker, AZ and can be reached out via phone at 928-662-4718.

Location: 12033 Agency Rd, Parker, AZ, 85344-9703
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225255987
Provider Name
Roberta Rae Short
Credential
ETC
Provider Entity Type
Individual
Gender
Female
Address
12033 Agency Rd, Parker, AZ, 85344-9703
Phone Number
928-662-4718
Fax Number
Provider Enumeration Date
04/20/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12033 Agency Rd
City
Parker
State
Arizona
Zip
85344-7718
Phone Number
928-662-4718
Fax Number
person
Provider Business Mailing Address Details
Address
12033 Agency Rd
City
Parker
State
Arizona
Zip
85344-7718
Phone Number
928-662-4718
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Personal Care Attendant
Taxonomy
3747P1801X
License No.
(Arizona)
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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