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Lisa Dougherty
Homemaker in Fairmont, West Virginia
NPI 1063016475

Lisa Dougherty is a Homemaker based in Fairmont, WV. Lisa Dougherty practices in Fairmont, WV. The NPI Number for Lisa Dougherty is 1063016475 and holds a License No. (West Virginia).

The current practice location address for Lisa Dougherty is 503 Morgantown Ave, Fairmont, WV and can be reached out via phone at 304-363-7375 and via fax at 304-363-7376. You can also correspond with Lisa Dougherty through the mailing address at 217 HECKS RUN RD, FAIRMONT, WV - 26554-2277 (mailing address contact number: 304-363-6280).

Location: 503 Morgantown Ave, Fairmont, WV, 26554-2277
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063016475
Provider Name
Lisa Dougherty
Credential
Provider Entity Type
Individual
Gender
Female
Address
503 Morgantown Ave, Fairmont, WV, 26554-2277
Phone Number
304-363-7375
Fax Number
304-363-7376
Provider Enumeration Date
11/25/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
503 Morgantown Ave
City
Fairmont
State
West Virginia
Zip
26554-4388
Phone Number
304-363-7375
Fax Number
304-363-7376
person
Provider Business Mailing Address Details
Address
503 Morgantown Ave
City
Fairmont
State
West Virginia
Zip
26554-4388
Phone Number
304-363-7375
Fax Number
304-363-7376
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Homemaker
Speciality
-
Taxonomy
376J00000X
License No.
()
Definition
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.
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