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Demon Gary
Personal Care Attendant in Lewisburg, West Virginia
NPI 1144816703

Demon Gary is a Personal Care Attendant based in Lewisburg, WV and is specialized in Personal Care Attendant. Demon Gary practices in Lewisburg, WV. The NPI Number for Demon Gary is 1144816703 and holds a License No. (West Virginia).

The current practice location address for Demon Gary is 765 Jefferson St S, Lewisburg, WV and can be reached out via phone at 304-645-0057 and via fax at 304-645-0077.

Location: 765 Jefferson St S, Lewisburg, WV, 24901-2084
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144816703
Provider Name
Demon Gary
Credential
Provider Entity Type
Individual
Gender
Male
Address
765 Jefferson St S, Lewisburg, WV, 24901-2084
Phone Number
304-645-0057
Fax Number
304-645-0077
Provider Enumeration Date
12/17/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3810024363 05 WY
institution
Provider Business Practice Location Address Details
Address
765 Jefferson St S
City
Lewisburg
State
West Virginia
Zip
24901-2084
Phone Number
304-645-0057
Fax Number
304-645-0077
person
Provider Business Mailing Address Details
Address
765 Jefferson St S
City
Lewisburg
State
West Virginia
Zip
24901-2084
Phone Number
304-645-0057
Fax Number
304-645-0077
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Personal Care Attendant
Taxonomy
3747P1801X
License No.
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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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