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Michael Anthony Gonzales JR.
Homemaker in Lebanon, Tennessee
NPI 1558095661

Michael Anthony Gonzales JR. is a Homemaker based in Lebanon, TN. Michael Anthony Gonzales JR. practices in Lebanon, TN. The NPI Number for Michael Anthony Gonzales JR. is 1558095661 and holds a License No. (Tennessee).

The current practice location address for Michael Anthony Gonzales JR. is 86 Baldy Ford Rd, Lebanon, TN and can be reached out via phone at 661-616-8778.

Location: 86 Baldy Ford Rd, Lebanon, TN, 37090-6656
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558095661
Provider Name
Michael Anthony Gonzales JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
86 Baldy Ford Rd, Lebanon, TN, 37090-6656
Phone Number
661-616-8778
Fax Number
Provider Enumeration Date
07/13/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
86 Baldy Ford Rd
City
Lebanon
State
Tennessee
Zip
37090-6656
Phone Number
661-616-8778
Fax Number
person
Provider Business Mailing Address Details
Address
86 Baldy Ford Rd
City
Lebanon
State
Tennessee
Zip
37090-6656
Phone Number
661-616-8778
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Homemaker
Speciality
-
Taxonomy
376J00000X
License No.
(Tennessee)
Definition
An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.
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