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Carissa Laverne Moore
Personal Care Attendant in Atoka, Oklahoma
NPI 1588245013

Carissa Laverne Moore is a Personal Care Attendant based in Atoka, OK and is specialized in Personal Care Attendant. Carissa Laverne Moore practices in Atoka, OK. The NPI Number for Carissa Laverne Moore is 1588245013 and holds a License No. (Oklahoma).

The current practice location address for Carissa Laverne Moore is 1680 S Greathouse Drive, Atoka, OK and can be reached out via phone at 580-297-6965 and via fax at 580-324-4181.

Location: 1680 S Greathouse Drive, Atoka, OK, 74525
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588245013
Provider Name
Carissa Laverne Moore
Credential
Provider Entity Type
Individual
Gender
Female
Address
1680 S Greathouse Drive, Atoka, OK, 74525
Phone Number
580-297-6965
Fax Number
580-324-4181
Provider Enumeration Date
04/16/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100683770A 05 OK
institution
Provider Business Practice Location Address Details
Address
1680 S Greathouse Drive
City
Atoka
State
Oklahoma
Zip
74525
Phone Number
580-297-6965
Fax Number
580-324-4181
person
Provider Business Mailing Address Details
Address
1680 S Greathouse Drive
City
Atoka
State
Oklahoma
Zip
74525
Phone Number
580-297-6965
Fax Number
580-324-4181
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Personal Care Attendant
Taxonomy
3747P1801X
License No.
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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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