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Austin Gresham Outlaw
Personal Care Attendant in Grand Rapids, Michigan
NPI 1669130480

Austin Gresham Outlaw is a Personal Care Attendant based in East Lansing, MI and is specialized in Personal Care Attendant. Austin Gresham Outlaw practices in Grand Rapids, MI. The NPI Number for Austin Gresham Outlaw is 1669130480 and holds a License No. (Michigan).

The current practice location address for Austin Gresham Outlaw is 4218 Burton St Se, Grand Rapids, MI and can be reached out via phone at 616-301-8000.

Location: 4218 Burton St Se, Grand Rapids, MI, 48825-3802
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669130480
Provider Name
Austin Gresham Outlaw
Credential
Provider Entity Type
Individual
Gender
Male
Address
4218 Burton St Se, Grand Rapids, MI, 48825-3802
Phone Number
616-301-8000
Fax Number
Provider Enumeration Date
11/30/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4218 Burton St Se
City
Grand Rapids
State
Michigan
Zip
49546-6121
Phone Number
616-301-8000
Fax Number
person
Provider Business Mailing Address Details
Address
4218 Burton St Se
City
Grand Rapids
State
Michigan
Zip
49546-6121
Phone Number
616-301-8000
Fax Number
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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