CHARLESTON MATALDA NPI 1598350050

NPI Information

Charleston Matalda is a homemaker in West Fargo, ND. The provider is an individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards. Charleston Matalda NPI is 1598350050. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1208 WESTPORT BEACH WAY UNIT B
WEST FARGO, ND
ZIP 58078-857
Phone: (701) 317-5128

The enumeration date for this NPI number is 3/6/2021 and was last updated on 3/6/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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