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Mr. Larry Earl Underdue
Personal Care Attendant in Bismarck, North Dakota
NPI 1790388718

Larry Earl Underdue is a Personal Care Attendant based in Bismarck, ND and is specialized in Personal Care Attendant. Larry Earl Underdue practices in Bismarck, ND. The NPI Number for Larry Earl Underdue is 1790388718 and holds a License No. 1478491 (North Dakota).

The current practice location address for Larry Earl Underdue is 420 E Main Ave Apt 1011, Bismarck, ND and can be reached out via phone at 701-204-1642.

Location: 420 E Main Ave Apt 1011, Bismarck, ND, 58501-4069
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790388718
Provider Name
Larry Earl Underdue
Credential
Provider Entity Type
Individual
Gender
Male
Address
420 E Main Ave Apt 1011, Bismarck, ND, 58501-4069
Phone Number
701-204-1642
Fax Number
Provider Enumeration Date
11/20/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
420 E Main Ave Apt 1011
City
Bismarck
State
North Dakota
Zip
58501-4069
Phone Number
701-204-1642
Fax Number
person
Provider Business Mailing Address Details
Address
420 E Main Ave Apt 1011
City
Bismarck
State
North Dakota
Zip
58501-4069
Phone Number
701-204-1642
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Personal Care Attendant
Taxonomy
3747P1801X
License No.
1478491 (North Dakota)
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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