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Holly Roth
Attendant Care Provider in Wheeling, West Virginia
NPI 1053074443

Holly Roth is an Attendant Care Provider based in Wheeling, WV and is specialized in Attendant Care Provider. Holly Roth practices in Wheeling, WV. The NPI Number for Holly Roth is 1053074443 and holds a License No. (West Virginia).

The current practice location address for Holly Roth is 1075 Mccolloch St, Wheeling, WV and can be reached out via phone at 304-551-4749.

Location: 1075 Mccolloch St, Wheeling, WV, 26003-3133
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053074443
Provider Name
Holly Roth
Credential
Provider Entity Type
Individual
Gender
Female
Address
1075 Mccolloch St, Wheeling, WV, 26003-3133
Phone Number
304-551-4749
Fax Number
Provider Enumeration Date
10/21/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1821206228 05 WV
125553494 05 WV
1356607394 05 WV
institution
Provider Business Practice Location Address Details
Address
1075 Mccolloch St
City
Wheeling
State
West Virginia
Zip
26003-3133
Phone Number
304-551-4749
Fax Number
person
Provider Business Mailing Address Details
Address
1075 Mccolloch St
City
Wheeling
State
West Virginia
Zip
26003-3133
Phone Number
304-551-4749
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Attendant Care Provider
Taxonomy
3747A0650X
License No.
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Definition
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.
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