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Mr. Jack Fountain III
Personal Care Attendant in Canton, Ohio
NPI 1831347129

Jack Fountain III is a Personal Care Attendant based in Canton, OH and is specialized in Personal Care Attendant. Jack Fountain III practices in Canton, OH. The NPI Number for Jack Fountain III is 1831347129 and holds a License No. (Ohio).

The current practice location address for Jack Fountain III is 2232 Times Ave Sw, Canton, OH and can be reached out via phone at 330-412-7963. You can also correspond with Jack Fountain III through the mailing address at 2232 TIMES AVE SW, CANTON, OH - 44706-2116 (mailing address contact number: 330-412-7963).

Location: 2232 Times Ave Sw, Canton, OH, 44706-2116
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831347129
Provider Name
Jack Fountain III
Credential
Provider Entity Type
Individual
Gender
Male
Address
2232 Times Ave Sw, Canton, OH, 44706-2116
Phone Number
330-412-7963
Fax Number
Provider Enumeration Date
08/29/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2232 Times Ave Sw
City
Canton
State
Ohio
Zip
44706-2116
Phone Number
330-412-7963
Fax Number
person
Provider Business Mailing Address Details
Address
2232 Times Ave Sw
City
Canton
State
Ohio
Zip
44706-2116
Phone Number
330-412-7963
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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