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Taivanh Thammavongsa
Personal Care Attendant in Saint Paul, Minnesota
NPI 1508058702

Taivanh Thammavongsa is a Personal Care Attendant based in Worthington, MN and is specialized in Personal Care Attendant. Taivanh Thammavongsa practices in Saint Paul, MN. The NPI Number for Taivanh Thammavongsa is 1508058702 and holds a License No. (Minnesota).

The current practice location address for Taivanh Thammavongsa is 23 Empire Dr, Saint Paul, MN and can be reached out via phone at 651-222-2787 and via fax at 651-224-1057.

Location: 23 Empire Dr, Saint Paul, MN, 56187-2239
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508058702
Provider Name
Taivanh Thammavongsa
Credential
Provider Entity Type
Individual
Gender
Male
Address
23 Empire Dr, Saint Paul, MN, 56187-2239
Phone Number
651-222-2787
Fax Number
651-224-1057
Provider Enumeration Date
08/13/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
23 Empire Dr
City
Saint Paul
State
Minnesota
Zip
55103-1856
Phone Number
651-222-2787
Fax Number
651-224-1057
person
Provider Business Mailing Address Details
Address
23 Empire Dr
City
Saint Paul
State
Minnesota
Zip
55103-1856
Phone Number
651-222-2787
Fax Number
651-224-1057
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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