Individual provider · Type 1 NPI

Austin Gresham Outlaw

Personal Care Attendant · Grand Rapids, MI

NPI number 1669130480 Active

Practice location

4218 Burton St SE
Grand Rapids, MI 49546-6121

Call (616) 301-8000 Map

Mailing address

735 E Shaw Ln
East Lansing, MI 48825-3802

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 1669130480

Austin Gresham Outlaw's National Provider Identifier is 1669130480, issued on Nov 30, 2021. The primary taxonomy on file is Personal Care Attendant (3747P1801X), and the practice location is in Grand Rapids, MI. The record was last updated on Nov 30, 2021.