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Wesley Ray Woodruff
Personal Care Attendant in Kenai, Alaska
NPI 1487336715

Wesley Ray Woodruff is a Personal Care Attendant based in Kenai, AK and is specialized in Personal Care Attendant. Wesley Ray Woodruff practices in Kenai, AK. The NPI Number for Wesley Ray Woodruff is 1487336715 and holds a License No. 1712359 (Alaska).

The current practice location address for Wesley Ray Woodruff is 130 S Willow St Ste 9, Kenai, AK and can be reached out via phone at 907-782-8377 and via fax at 907-283-0084.

Location: 130 S Willow St Ste 9, Kenai, AK, 99611-9107
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487336715
Provider Name
Wesley Ray Woodruff
Credential
Provider Entity Type
Individual
Gender
Male
Address
130 S Willow St Ste 9, Kenai, AK, 99611-9107
Phone Number
907-782-8377
Fax Number
907-283-0084
Provider Enumeration Date
08/04/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1712359 05 AK
institution
Provider Business Practice Location Address Details
Address
130 S Willow St Ste 9
City
Kenai
State
Alaska
Zip
99611-9107
Phone Number
907-782-8377
Fax Number
907-283-0084
person
Provider Business Mailing Address Details
Address
130 S Willow St Ste 9
City
Kenai
State
Alaska
Zip
99611-9107
Phone Number
907-782-8377
Fax Number
907-283-0084
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Personal Care Attendant
Taxonomy
3747P1801X
License No.
1712359 (Alaska)
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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