Individual provider · Type 1 NPI
Jack Anderson
Attendant Care Provider · Victorville, CA
Practice location
14810 La Mesa Rd
Victorville, CA 92392-8639
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.
Another provider at this address
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About NPI 1982254603
Jack Anderson's National Provider Identifier is 1982254603, issued on Sep 14, 2019. The primary taxonomy on file is Attendant Care Provider (3747A0650X), and the practice location is in Victorville, CA. The record was last updated on Sep 25, 2019.