Individual provider · Type 1 NPI
Clifford Raymond Debrill I, CERTIFIED PROVIDER
Attendant Care Provider · Dayton, OH
Practice location
500 Marlay Rd
Dayton, OH 45405-1949
Fax (937) 979-4298
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Attendant Care Provider Primary | 3747A0650X | None listed |
Attendant Care Provider: An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
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About NPI 1700473048
Clifford Raymond Debrill I, CERTIFIED PROVIDER's National Provider Identifier is 1700473048, issued on Dec 21, 2020. The primary taxonomy on file is Attendant Care Provider (3747A0650X), and the practice location is in Dayton, OH. The record was last updated on Dec 21, 2020.