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Sissie Diane Johnson
Personal Care Attendant in Fairmont, West Virginia
NPI 1114640190

Sissie Diane Johnson is a Personal Care Attendant based in Fairmont, WV and is specialized in Personal Care Attendant. Sissie Diane Johnson practices in Fairmont, WV. The NPI Number for Sissie Diane Johnson is 1114640190 and holds a License No. E949982 (West Virginia).

The current practice location address for Sissie Diane Johnson is 16 Mountain Park Dr, Fairmont, WV and can be reached out via phone at 304-816-3687.

Location: 16 Mountain Park Dr, Fairmont, WV, 26554-8992
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114640190
Provider Name
Sissie Diane Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
16 Mountain Park Dr, Fairmont, WV, 26554-8992
Phone Number
304-816-3687
Fax Number
Provider Enumeration Date
09/23/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
16 Mountain Park Dr
City
Fairmont
State
West Virginia
Zip
26554-8992
Phone Number
304-816-3687
Fax Number
person
Provider Business Mailing Address Details
Address
16 Mountain Park Dr
City
Fairmont
State
West Virginia
Zip
26554-8992
Phone Number
304-816-3687
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Personal Care Attendant
Taxonomy
3747P1801X
License No.
E949982 (West Virginia)
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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