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Mrs. Lake Minor, COTA/L
Personal Care Attendant in Massillon, Ohio
NPI 1902215825

Lake Minor is a Personal Care Attendant based in Massillon, OH and is specialized in Personal Care Attendant. Lake Minor practices in Massillon, OH and has the professional credentials of COTA/L. The NPI Number for Lake Minor is 1902215825 and holds a License No. 04611 (Ohio).

The current practice location address for Lake Minor is 143 Rolling Park Dr N, Massillon, OH and can be reached out via phone at 330-605-8878.

Location: 143 Rolling Park Dr N, Massillon, OH, 44647-8812
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902215825
Provider Name
Lake Minor
Credential
COTA/L
Provider Entity Type
Individual
Gender
Female
Address
143 Rolling Park Dr N, Massillon, OH, 44647-8812
Phone Number
330-605-8878
Fax Number
Provider Enumeration Date
08/05/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
143 Rolling Park Dr N
City
Massillon
State
Ohio
Zip
44647-8812
Phone Number
330-605-8878
Fax Number
person
Provider Business Mailing Address Details
Address
143 Rolling Park Dr N
City
Massillon
State
Ohio
Zip
44647-8812
Phone Number
330-605-8878
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Personal Care Attendant
Taxonomy
3747P1801X
License No.
04611 (Ohio)
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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