Individual provider · Type 1 NPI
Mallori Jane Wagoner
Personal Care Attendant · Council Bluffs, IA
Practice location
2724 Avenue B
Council Bluffs, IA 51501-2106
Mailing address
21 Indian Hills Rd
Council Bluffs, IA 51503-4843
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Personal Care Attendant Primary | 3747P1801X | None listed |
Personal Care Attendant: 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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About NPI 1033003116
Mallori Jane Wagoner's National Provider Identifier is 1033003116, issued on Jun 4, 2025. The primary taxonomy on file is Personal Care Attendant (3747P1801X), and the practice location is in Council Bluffs, IA. The record was last updated on Jun 4, 2025.