Individual provider · Type 1 NPI

Dam Souksawan

Personal Care Attendant · St. Paul, MN

NPI number 1043498496 Active

Practice location

23 Empire Dr, Suite 123
St. Paul, MN 55103-1856

Call (651) 222-2787 Map

Fax (651) 224-1057

Mailing address

617 Pershing Blvd
Worthington, MN 56187-1261

Specialties and licenses

TaxonomyCodeLicense
Personal Care Attendant Primary 3747P1801XNone 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 1043498496

Dam Souksawan's National Provider Identifier is 1043498496, issued on Feb 7, 2008. The primary taxonomy on file is Personal Care Attendant (3747P1801X), and the practice location is in St. Paul, MN. The record was last updated on Feb 7, 2008.