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Ellese Marie Ford
Personal Care Attendant in Crystal, Minnesota
NPI 1851717193

Ellese Marie Ford is a Personal Care Attendant based in Crystal, MN and is specialized in Personal Care Attendant. Ellese Marie Ford practices in Crystal, MN. The NPI Number for Ellese Marie Ford is 1851717193 and holds a License No. (Minnesota).

The current practice location address for Ellese Marie Ford is 6000 Bass Lake Rd, Crystal, MN and can be reached out via phone at 612-998-9838 and via fax at 763-432-3919.

Location: 6000 Bass Lake Rd, Crystal, MN, 55429-2700
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851717193
Provider Name
Ellese Marie Ford
Credential
Provider Entity Type
Individual
Gender
Female
Address
6000 Bass Lake Rd, Crystal, MN, 55429-2700
Phone Number
612-998-9838
Fax Number
763-432-3919
Provider Enumeration Date
03/11/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6000 Bass Lake Rd
City
Crystal
State
Minnesota
Zip
55429-2700
Phone Number
612-998-9838
Fax Number
763-432-3919
person
Provider Business Mailing Address Details
Address
6000 Bass Lake Rd
City
Crystal
State
Minnesota
Zip
55429-2700
Phone Number
612-998-9838
Fax Number
763-432-3919
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Personal Care Attendant
Taxonomy
3747P1801X
License No.
(Minnesota)
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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