Individual provider · Type 1 NPI

Michelle Wallace

Personal Care Attendant · Fort Gibson, OK

NPI number 1770051252 Active

Practice location

1515 Sumac Rd
Fort Gibson, OK 74434-7512

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 1770051252

Michelle Wallace's National Provider Identifier is 1770051252, issued on Nov 2, 2018. The primary taxonomy on file is Personal Care Attendant (3747P1801X), and the practice location is in Fort Gibson, OK. The record was last updated on Nov 2, 2018.