Mr. Willie Carson Sr.
Mr. Willie Carson Sr. is a Personal Care Attendant in Portage, Indiana. Practices as a sole proprietor. Registered with an NPI since 2025.
- In the registry since
- 2025
- Specialties on file
- 2
Practice location Address checks out
Portage, INNo coordinates on file. Search this address in Google Maps
Specialties & licences
| Attendant Care Provider (primary) | Taxonomy 3747A0650X |
|---|---|
| Personal Care Attendant | Taxonomy 3747P1801X |
Record details
| NPI number | 1174311674 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 25, 2025 |
| Last updated in NPPES | April 25, 2025 |
| Certification date | April 25, 2025 |
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