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Tina Alley
Homemaker in Bluefield, West Virginia
NPI 1114524857

Tina Alley is a Homemaker based in Bluefield, WV. Tina Alley practices in Bluefield, WV. The NPI Number for Tina Alley is 1114524857 and holds a License No. 1568796027 (West Virginia).

The current practice location address for Tina Alley is 1277 Stoney Ridge Rd, Bluefield, WV and can be reached out via phone at 304-920-5107 and via fax at 304-425-7111. You can also correspond with Tina Alley through the mailing address at 355 BLUEFIELD AVE, BLUEFIELD, WV - 24701-2883 (mailing address contact number: 304-425-7111).

Location: 1277 Stoney Ridge Rd, Bluefield, WV, 24701-2883
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114524857
Provider Name
Tina Alley
Credential
Provider Entity Type
Individual
Gender
Female
Address
1277 Stoney Ridge Rd, Bluefield, WV, 24701-2883
Phone Number
304-920-5107
Fax Number
304-425-7111
Provider Enumeration Date
10/06/2020
Last Update Date
03/10/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
55-6025355 05 WV
institution
Provider Business Practice Location Address Details
Address
1277 Stoney Ridge Rd
City
Bluefield
State
West Virginia
Zip
24701-4266
Phone Number
304-920-5107
Fax Number
304-425-7111
person
Provider Business Mailing Address Details
Address
1277 Stoney Ridge Rd
City
Bluefield
State
West Virginia
Zip
24701-4266
Phone Number
304-920-5107
Fax Number
304-425-7111
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Homemaker
Speciality
-
Taxonomy
376J00000X
License No.
1568796027 (West Virginia)
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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