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Mr. Derrick Gordon II
Personal Care Attendant in Canton, Ohio
NPI 1356191449

Derrick Gordon II is a Personal Care Attendant based in Canton, OH and is specialized in Personal Care Attendant. Derrick Gordon II practices in Canton, OH. The NPI Number for Derrick Gordon II is 1356191449 and holds a License No. TH945069 (Ohio).

The current practice location address for Derrick Gordon II is 2401 Fletcher Ave Ne, Canton, OH and can be reached out via phone at 330-268-6592. You can also correspond with Derrick Gordon II through the mailing address at 2401 FLETCHER AVE NE, CANTON, OH - 44705-4625 (mailing address contact number: 330-268-6592).

Location: 2401 Fletcher Ave Ne, Canton, OH, 44705-4625
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356191449
Provider Name
Derrick Gordon II
Credential
Provider Entity Type
Individual
Gender
Male
Address
2401 Fletcher Ave Ne, Canton, OH, 44705-4625
Phone Number
330-268-6592
Fax Number
Provider Enumeration Date
03/25/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
2401 Fletcher Ave Ne
City
Canton
State
Ohio
Zip
44705-4625
Phone Number
330-268-6592
Fax Number
person
Provider Business Mailing Address Details
Address
2401 Fletcher Ave Ne
City
Canton
State
Ohio
Zip
44705-4625
Phone Number
330-268-6592
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Personal Care Attendant
Taxonomy
3747P1801X
License No.
TH945069 (Ohio)
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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