Individual provider · Type 1 NPI

Brenton A. Petrick

Personal Care Attendant · Southgate, MI

NPI number 1609182062 Active

Practice location

19401 Northline Rd
Southgate, MI 48195-2277

Call (734) 785-7718 Map

Fax (734) 287-8221

Mailing address

13341 Commonwealth St
Southgate, MI 48195-1287

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 1609182062

Brenton A. Petrick's National Provider Identifier is 1609182062, issued on Aug 24, 2010. The primary taxonomy on file is Personal Care Attendant (3747P1801X), and the practice location is in Southgate, MI. The record was last updated on Aug 24, 2010.