Individual provider · Type 1 NPI
Lisa Crockom
Attendant Care Provider · Los Angeles, CA
Practice location
1838 E. Badillo Street Apt 1
Los Angeles, CA 90001
Mailing address
1838 E Badillo St Apt 1
West Covina, CA 91791-1107
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 1730722539
Lisa Crockom's National Provider Identifier is 1730722539, issued on Oct 24, 2019. The primary taxonomy on file is Attendant Care Provider (3747A0650X), and the practice location is in Los Angeles, CA. The record was last updated on Oct 24, 2019.