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Trevor Lee Umpleby
Personal Care Attendant in Mandan, North Dakota
NPI 1457959660

Trevor Lee Umpleby is a Personal Care Attendant based in Mandan, ND and is specialized in Personal Care Attendant. Trevor Lee Umpleby practices in Mandan, ND. The NPI Number for Trevor Lee Umpleby is 1457959660 and holds a License No. 1477011 (North Dakota).

The current practice location address for Trevor Lee Umpleby is 300 6Th Ave Sw, Mandan, ND and can be reached out via phone at 701-590-5138.

Location: 300 6Th Ave Sw, Mandan, ND, 58554-4013
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457959660
Provider Name
Trevor Lee Umpleby
Credential
Provider Entity Type
Individual
Gender
Male
Address
300 6Th Ave Sw, Mandan, ND, 58554-4013
Phone Number
701-590-5138
Fax Number
Provider Enumeration Date
10/12/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1477011 05 ND
institution
Provider Business Practice Location Address Details
Address
300 6Th Ave Sw
City
Mandan
State
North Dakota
Zip
58554-4013
Phone Number
701-590-5138
Fax Number
person
Provider Business Mailing Address Details
Address
300 6Th Ave Sw
City
Mandan
State
North Dakota
Zip
58554-4013
Phone Number
701-590-5138
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Personal Care Attendant
Taxonomy
3747P1801X
License No.
1477011 (North Dakota)
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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