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Charles Tyson
Personal Care Attendant in Vienna, West Virginia
NPI 1124789094

Charles Tyson is a Personal Care Attendant based in Vienna, WV and is specialized in Personal Care Attendant. Charles Tyson practices in Vienna, WV. The NPI Number for Charles Tyson is 1124789094 and holds a License No. (West Virginia).

The current practice location address for Charles Tyson is 1100 9Th St Ste D, Vienna, WV and can be reached out via phone at 304-428-6148.

Location: 1100 9Th St Ste D, Vienna, WV, 26105-2176
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124789094
Provider Name
Charles Tyson
Credential
Provider Entity Type
Individual
Gender
Male
Address
1100 9Th St Ste D, Vienna, WV, 26105-2176
Phone Number
304-428-6148
Fax Number
Provider Enumeration Date
01/04/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1100 9Th St Ste D
City
Vienna
State
West Virginia
Zip
26105-2176
Phone Number
304-428-6148
Fax Number
person
Provider Business Mailing Address Details
Address
1100 9Th St Ste D
City
Vienna
State
West Virginia
Zip
26105-2176
Phone Number
304-428-6148
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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