MR. RICKY DALE WALTER JR.
NPI 1922875541
Technician - Personal Care Attendant in Devils Lake, ND

Active since December 04, 2023
420 PITCHER PARK SE, DEVILS LAKE, ND 58301(701) 350-8031 Get Directions Write a Review

NPPES record last updated: December 4, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Ricky Dale Walter Jr. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. RICKY DALE WALTER JR. (NPI 1922875541) is an individual personal care attendant in Devils Lake, North Dakota and active in the NPI registry since December 2023. He maintains a secondary practice location in Sheyenne.

NPPES Registry Identity

NPI1922875541
Entity TypeIndividualMale
Primary Taxonomy3747P1801X
Provider Legal NameMR. RICKY DALE WALTER JR.
Location Address420 PITCHER PARK SEDevils Lake, ND 58301-3962
Mailing AddressPo Box 670Fort Totten, ND 58335-0670 · (701) 798-2070
Sole ProprietorYes
Enumeration DateDecember 4, 2023
NPPES CertifiedDecember 4, 2023
NPI 1922875541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
Definition

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

420 PITCHER PARK SE, Devils Lake, ND 58301

Secondary Practice Location 1

Location 16583 35th St NESheyenne, ND 58374-9693 · Phone (701) 798-2070

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922875541, enumerated as an "individual" on December 04, 2023.

The provider is located at 420 PITCHER PARK SE DEVILS LAKE, ND 58301 and the phone number is (701) 350-8031.

Technician with taxonomy code 3747P1801X and a focus in Personal Care Attendant.