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Mr. Michael Jerry Missouri JR.
Personal Care Attendant in Washington, District of Columbia
NPI 1417728882

Michael Jerry Missouri JR. is a Personal Care Attendant based in Washington, DC and is specialized in Personal Care Attendant. Michael Jerry Missouri JR. practices in Washington, DC. The NPI Number for Michael Jerry Missouri JR. is 1417728882 and holds a License No. (District of Columbia).

The current practice location address for Michael Jerry Missouri JR. is 431 54Th St Se Apt A1, Washington, DC and can be reached out via phone at 202-200-6558.

Location: 431 54Th St Se Apt A1, Washington, DC, 20032-3497
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417728882
Provider Name
Michael Jerry Missouri JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
431 54Th St Se Apt A1, Washington, DC, 20032-3497
Phone Number
202-200-6558
Fax Number
Provider Enumeration Date
01/12/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
431 54Th St Se Apt A1
City
Washington
State
District of Columbia
Zip
20019-6573
Phone Number
202-200-6558
Fax Number
person
Provider Business Mailing Address Details
Address
431 54Th St Se Apt A1
City
Washington
State
District of Columbia
Zip
20019-6573
Phone Number
202-200-6558
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Personal Care Attendant
Taxonomy
3747P1801X
License No.
()
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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