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Sandra Sullivan
Personal Care Attendant in Boise, Idaho
NPI 1568127124

Sandra Sullivan is a Personal Care Attendant based in Boise, ID and is specialized in Personal Care Attendant. Sandra Sullivan practices in Boise, ID. The NPI Number for Sandra Sullivan is 1568127124 and holds a License No. (Idaho).

The current practice location address for Sandra Sullivan is 6700 W Overland Rd, Boise, ID and can be reached out via phone at 208-319-4587 and via fax at 208-377-3883.

Location: 6700 W Overland Rd, Boise, ID, 83709-2032
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568127124
Provider Name
Sandra Sullivan
Credential
Provider Entity Type
Individual
Gender
Female
Address
6700 W Overland Rd, Boise, ID, 83709-2032
Phone Number
208-319-4587
Fax Number
208-377-3883
Provider Enumeration Date
11/08/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
A0000141 05 ID
institution
Provider Business Practice Location Address Details
Address
6700 W Overland Rd
City
Boise
State
Idaho
Zip
83709-2032
Phone Number
208-319-4587
Fax Number
208-377-3883
person
Provider Business Mailing Address Details
Address
6700 W Overland Rd
City
Boise
State
Idaho
Zip
83709-2032
Phone Number
208-319-4587
Fax Number
208-377-3883
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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