NPI Profile for RAVEN MATTINGLY in GANS, OK.
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
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Personal Care Attendant |
3747P1801X |
| NPI # | 1285097527 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 04/04/2016 | |
| Last updated | 04/04/2016 - About 10 years ago | |
| Sole proprietor 1 | No | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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RAVEN MATTINGLY
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