Individual provider · Type 1 NPI

Jaclyn Moore

Personal Care Attendant · Southgate, MI

NPI number 1679739759 Active

Practice location

19401 Northline Rd
Southgate, MI 48195-2277

Call (734) 785-7718 Map

Mailing address

2084 Cicotte Ave
Lincoln Park, MI 48146-1309

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 1679739759

Jaclyn Moore's National Provider Identifier is 1679739759, issued on Jul 29, 2008. The primary taxonomy on file is Personal Care Attendant (3747P1801X), and the practice location is in Southgate, MI. The record was last updated on Jul 29, 2008.