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Audrey Iddrisu
Attendant Care Provider in Leonia, New Jersey
NPI 1306543491

Audrey Iddrisu is an Attendant Care Provider based in Leonia, NJ and is specialized in Attendant Care Provider. Audrey Iddrisu practices in Leonia, NJ. The NPI Number for Audrey Iddrisu is 1306543491 and holds a License No. (New Jersey).

The current practice location address for Audrey Iddrisu is 398 Broad Ave # 393, Leonia, NJ and can be reached out via phone at 917-865-7600.

Location: 398 Broad Ave # 393, Leonia, NJ, 07605-1618
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306543491
Provider Name
Audrey Iddrisu
Credential
Provider Entity Type
Individual
Gender
Female
Address
398 Broad Ave # 393, Leonia, NJ, 07605-1618
Phone Number
917-865-7600
Fax Number
Provider Enumeration Date
02/09/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
398 Broad Ave # 393
City
Leonia
State
New Jersey
Zip
07605-1618
Phone Number
917-865-7600
Fax Number
person
Provider Business Mailing Address Details
Address
398 Broad Ave # 393
City
Leonia
State
New Jersey
Zip
07605-1618
Phone Number
917-865-7600
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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