Individual provider · Type 1 NPI

Anthony Nelson Wallace Jr.

Personal Care Attendant · Omaha, NE

NPI number 1780471102 Active

Practice location

9001 Arbor St Ste 206
Omaha, NE 68124-2066

Mailing address

2104 S 42nd St
Omaha, NE 68105-2910

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 1780471102

Anthony Nelson Wallace Jr.'s National Provider Identifier is 1780471102, issued on Apr 21, 2025. The primary taxonomy on file is Personal Care Attendant (3747P1801X), and the practice location is in Omaha, NE. The record was last updated on Apr 21, 2025.