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Jorge Mondragon
Personal Care Attendant in Mannington, West Virginia
NPI 1053913137

Jorge Mondragon is a Personal Care Attendant based in Mannington, WV and is specialized in Personal Care Attendant. Jorge Mondragon practices in Mannington, WV. The NPI Number for Jorge Mondragon is 1053913137 and holds a License No. (West Virginia).

The current practice location address for Jorge Mondragon is 311 Plum Run Rd, Mannington, WV and can be reached out via phone at 304-694-6423.

Location: 311 Plum Run Rd, Mannington, WV, 26582-7279
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053913137
Provider Name
Jorge Mondragon
Credential
Provider Entity Type
Individual
Gender
Male
Address
311 Plum Run Rd, Mannington, WV, 26582-7279
Phone Number
304-694-6423
Fax Number
Provider Enumeration Date
11/12/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3046946423 05 WV
institution
Provider Business Practice Location Address Details
Address
311 Plum Run Rd
City
Mannington
State
West Virginia
Zip
26582-7279
Phone Number
304-694-6423
Fax Number
person
Provider Business Mailing Address Details
Address
311 Plum Run Rd
City
Mannington
State
West Virginia
Zip
26582-7279
Phone Number
304-694-6423
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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