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Mr. Derrick Allen Porter
Personal Care Attendant in Springdale, Arkansas
NPI 1760406938

Derrick Allen Porter is a Personal Care Attendant based in Springdale, AR and is specialized in Personal Care Attendant. Derrick Allen Porter practices in Springdale, AR. The NPI Number for Derrick Allen Porter is 1760406938 and holds a License No. 60593 (Arkansas).

The current practice location address for Derrick Allen Porter is 20188 W Vanzant Rd, Springdale, AR and can be reached out via phone at 479-263-1804.

Location: 20188 W Vanzant Rd, Springdale, AR, 72764-8978
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760406938
Provider Name
Derrick Allen Porter
Credential
Provider Entity Type
Individual
Gender
Male
Address
20188 W Vanzant Rd, Springdale, AR, 72764-8978
Phone Number
479-263-1804
Fax Number
Provider Enumeration Date
07/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MCO13589 05 AR
institution
Provider Business Practice Location Address Details
Address
20188 W Vanzant Rd
City
Springdale
State
Arkansas
Zip
72764-8978
Phone Number
479-263-1804
Fax Number
person
Provider Business Mailing Address Details
Address
20188 W Vanzant Rd
City
Springdale
State
Arkansas
Zip
72764-8978
Phone Number
479-263-1804
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Personal Care Attendant
Taxonomy
3747P1801X
License No.
60593 (Arkansas)
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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