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Tracy Crockett
Attendant Care Provider in Winchester, California
NPI 1568011807

Tracy Crockett is an Attendant Care Provider based in Winchester, CA and is specialized in Attendant Care Provider. Tracy Crockett practices in Winchester, CA. The NPI Number for Tracy Crockett is 1568011807 and holds a License No. (California).

The current practice location address for Tracy Crockett is 36408 Cognac St, Winchester, CA and can be reached out via phone at 951-926-6750.

Location: 36408 Cognac St, Winchester, CA, 92596-9108
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568011807
Provider Name
Tracy Crockett
Credential
Provider Entity Type
Individual
Gender
Female
Address
36408 Cognac St, Winchester, CA, 92596-9108
Phone Number
951-926-6750
Fax Number
Provider Enumeration Date
09/10/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
36408 Cognac St
City
Winchester
State
California
Zip
92596-9108
Phone Number
951-926-6750
Fax Number
person
Provider Business Mailing Address Details
Address
36408 Cognac St
City
Winchester
State
California
Zip
92596-9108
Phone Number
951-926-6750
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Attendant Care Provider
Taxonomy
3747A0650X
License No.
()
Definition
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
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