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Ms. Kentoya Venga Willis
Personal Care Attendant in Tyler, Texas
NPI 1053814426

Kentoya Venga Willis is a Personal Care Attendant based in Tyler, TX and is specialized in Personal Care Attendant. Kentoya Venga Willis practices in Tyler, TX. The NPI Number for Kentoya Venga Willis is 1053814426 and holds a License No. (Texas).

The current practice location address for Kentoya Venga Willis is 4504 Edinburgh Dr, Tyler, TX and can be reached out via phone at 903-539-7754.

Location: 4504 Edinburgh Dr, Tyler, TX, 75703-2303
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053814426
Provider Name
Kentoya Venga Willis
Credential
Provider Entity Type
Individual
Gender
Female
Address
4504 Edinburgh Dr, Tyler, TX, 75703-2303
Phone Number
903-539-7754
Fax Number
Provider Enumeration Date
03/13/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4504 Edinburgh Dr
City
Tyler
State
Texas
Zip
75703-2303
Phone Number
903-539-7754
Fax Number
person
Provider Business Mailing Address Details
Address
4504 Edinburgh Dr
City
Tyler
State
Texas
Zip
75703-2303
Phone Number
903-539-7754
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Personal Care Attendant
Taxonomy
3747P1801X
License No.
()
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
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