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Phaedra Johnson
Personal Care Attendant in Lewisville, Texas
NPI 1649759416

Phaedra Johnson is a Personal Care Attendant based in Lewisville, TX and is specialized in Personal Care Attendant. Phaedra Johnson practices in Lewisville, TX. The NPI Number for Phaedra Johnson is 1649759416 and holds a License No. (Texas).

The current practice location address for Phaedra Johnson is 998 Bellaire Blvd Apt 1705, Lewisville, TX and can be reached out via phone at 504-319-4305.

Location: 998 Bellaire Blvd Apt 1705, Lewisville, TX, 75067-5643
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649759416
Provider Name
Phaedra Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
998 Bellaire Blvd Apt 1705, Lewisville, TX, 75067-5643
Phone Number
504-319-4305
Fax Number
Provider Enumeration Date
08/12/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
830668620 01 TX NON MEDICAL
institution
Provider Business Practice Location Address Details
Address
998 Bellaire Blvd Apt 1705
City
Lewisville
State
Texas
Zip
75067-5643
Phone Number
504-319-4305
Fax Number
person
Provider Business Mailing Address Details
Address
998 Bellaire Blvd Apt 1705
City
Lewisville
State
Texas
Zip
75067-5643
Phone Number
504-319-4305
Fax Number
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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