Individual provider · Type 1 NPI

William Loushion McCollum

Attendant Care Provider · Wilmington, CA

NPI number 1255972303 Active

Practice location

831 Gulf Ave
Wilmington, CA 90744-4201

Other practice locations

  • 831 Gulf Ave, Wilmington, CA 90744-4201 · (424) 533-8484
  • 831. N. Gulf Ave, Wilmington, CA 90744-4201 · (424) 533-8484

Specialties and licenses

TaxonomyCodeLicense
VA Clinic/Center 261QV0200XNone listed
Attendant Care Provider Primary 3747A0650XNone listed

Attendant Care Provider: 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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About NPI 1255972303

William Loushion McCollum's National Provider Identifier is 1255972303, issued on Sep 30, 2019. The primary taxonomy on file is Attendant Care Provider (3747A0650X), and the practice location is in Wilmington, CA. The record was last updated on Oct 1, 2019.