Individual provider · Type 1 NPI

Ryan Wickerham

Personal Care Attendant · Belcourt, ND

NPI number 1063012656 Active

Practice location

9862 46th Ave NE 1191 Kent Addition, 1191
Belcourt, ND 58316

Call (701) 278-1111 Map

Fax (701) 477-8507

Mailing address

PO Box 2263
Belcourt, ND 58316-2263

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 1063012656

Ryan Wickerham's National Provider Identifier is 1063012656, issued on Oct 31, 2020. The primary taxonomy on file is Personal Care Attendant (3747P1801X), and the practice location is in Belcourt, ND. The record was last updated on Oct 31, 2020.