Individual provider · Type 1 NPI

Pingthong Promvongsa

Personal Care Attendant · St. Paul, MN

NPI number 1275712192 Active

Practice location

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

Call (651) 222-2787 Map

Fax (651) 224-1057

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 1275712192

Pingthong Promvongsa's National Provider Identifier is 1275712192, issued on Oct 27, 2007. 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 Oct 27, 2007.