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Willie Anthoney Davis JR.
Attendant Care Provider in Ramona, California
NPI 1265121750

Willie Anthoney Davis JR. is an Attendant Care Provider based in Ramona, CA and is specialized in Attendant Care Provider. Willie Anthoney Davis JR. practices in Ramona, CA. The NPI Number for Willie Anthoney Davis JR. is 1265121750 and holds a License No. (California).

The current practice location address for Willie Anthoney Davis JR. is 23430 Calistoga Pl, Ramona, CA and can be reached out via phone at 209-769-5243.

Location: 23430 Calistoga Pl, Ramona, CA, 92065-4309
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265121750
Provider Name
Willie Anthoney Davis JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
23430 Calistoga Pl, Ramona, CA, 92065-4309
Phone Number
209-769-5243
Fax Number
Provider Enumeration Date
05/02/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
D3692300 01 CA DRIVER LICENSE
institution
Provider Business Practice Location Address Details
Address
23430 Calistoga Pl
City
Ramona
State
California
Zip
92065-4309
Phone Number
209-769-5243
Fax Number
person
Provider Business Mailing Address Details
Address
23430 Calistoga Pl
City
Ramona
State
California
Zip
92065-4309
Phone Number
209-769-5243
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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