Individual provider · Type 1 NPI

Raven Mattingly

Personal Care Attendant · Gans, OK

NPI number 1285097527 Active

Practice location

204 N Stacey Ave
Gans, OK 74936

Mailing address

PO Box 70
Gans, OK 74936-0070

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

About NPI 1285097527

Raven Mattingly's National Provider Identifier is 1285097527, issued on Apr 4, 2016. The primary taxonomy on file is Personal Care Attendant (3747P1801X), and the practice location is in Gans, OK. The record was last updated on Apr 4, 2016.