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Jaclyn Moore
Personal Care Attendant in Southgate, Michigan
NPI 1679739759

Jaclyn Moore is a Personal Care Attendant based in Lincoln Park, MI and is specialized in Personal Care Attendant. Jaclyn Moore practices in Southgate, MI. The NPI Number for Jaclyn Moore is 1679739759 and holds a License No. (Michigan).

The current practice location address for Jaclyn Moore is 19401 Northline Rd, Southgate, MI and can be reached out via phone at 734-785-7718.

Location: 19401 Northline Rd, Southgate, MI, 48146-1309
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679739759
Provider Name
Jaclyn Moore
Credential
Provider Entity Type
Individual
Gender
Female
Address
19401 Northline Rd, Southgate, MI, 48146-1309
Phone Number
734-785-7718
Fax Number
Provider Enumeration Date
07/29/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
19401 Northline Rd
City
Southgate
State
Michigan
Zip
48195-2277
Phone Number
734-785-7718
Fax Number
person
Provider Business Mailing Address Details
Address
19401 Northline Rd
City
Southgate
State
Michigan
Zip
48195-2277
Phone Number
734-785-7718
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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