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William Loushion Mccollum
Attendant Care Provider in Wilmington, California
NPI 1255972303

William Loushion Mccollum is an Attendant Care Provider based in Wilmington, CA and is specialized in Attendant Care Provider. William Loushion Mccollum practices in Wilmington, CA. The NPI Number for William Loushion Mccollum is 1255972303 and holds a License No. (California).

The current practice location address for William Loushion Mccollum is 831 Gulf Ave, Wilmington, CA and can be reached out via phone at 424-533-8484.

Location: 831 Gulf Ave, Wilmington, CA, 90744-4201
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255972303
Provider Name
William Loushion Mccollum
Credential
Provider Entity Type
Individual
Gender
Male
Address
831 Gulf Ave, Wilmington, CA, 90744-4201
Phone Number
424-533-8484
Fax Number
Provider Enumeration Date
09/30/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
IDK 05 CA
institution
Provider Business Practice Location Address Details
Address
831 Gulf Ave
City
Wilmington
State
California
Zip
90744-4201
Phone Number
424-533-8484
Fax Number
person
Provider Business Mailing Address Details
Address
831 Gulf Ave
City
Wilmington
State
California
Zip
90744-4201
Phone Number
424-533-8484
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
VA
Taxonomy
261QV0200X
License No.
(California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
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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