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Jack Anderson
Attendant Care Provider in Victorville, California
NPI 1982254603

Jack Anderson is an Attendant Care Provider based in Victorville, CA and is specialized in Attendant Care Provider. Jack Anderson practices in Victorville, CA. The NPI Number for Jack Anderson is 1982254603 and holds a License No. (California).

The current practice location address for Jack Anderson is 14810 La Mesa Rd, Victorville, CA and can be reached out via phone at 760-951-0510.

Location: 14810 La Mesa Rd, Victorville, CA, 92392-8639
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982254603
Provider Name
Jack Anderson
Credential
Provider Entity Type
Individual
Gender
Male
Address
14810 La Mesa Rd, Victorville, CA, 92392-8639
Phone Number
760-951-0510
Fax Number
Provider Enumeration Date
09/14/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
14810 La Mesa Rd
City
Victorville
State
California
Zip
92392-8639
Phone Number
760-951-0510
Fax Number
person
Provider Business Mailing Address Details
Address
14810 La Mesa Rd
City
Victorville
State
California
Zip
92392-8639
Phone Number
760-951-0510
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Attendant Care Provider
Taxonomy
3747A0650X
License No.
()
Definition
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
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