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Mrs. Grace Wallace, PCA
Personal Care Attendant in Fort Gay, West Virginia
NPI 1154836401

Grace Wallace is a Personal Care Attendant based in Fort Gay, WV and is specialized in Personal Care Attendant. Grace Wallace practices in Fort Gay, WV and has the professional credentials of PCA. The NPI Number for Grace Wallace is 1154836401 and holds a License No. (West Virginia).

The current practice location address for Grace Wallace is 711 Greenbrier Creek Road, Fort Gay, WV and can be reached out via phone at 304-356-4562.

Location: 711 Greenbrier Creek Road, Fort Gay, WV, 25514
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154836401
Provider Name
Grace Wallace
Credential
PCA
Provider Entity Type
Individual
Gender
Female
Address
711 Greenbrier Creek Road, Fort Gay, WV, 25514
Phone Number
304-356-4562
Fax Number
Provider Enumeration Date
12/08/2017
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3810006088 01 PROVIDER ID
institution
Provider Business Practice Location Address Details
Address
711 Greenbrier Creek Road
City
Fort Gay
State
West Virginia
Zip
25514
Phone Number
304-356-4562
Fax Number
person
Provider Business Mailing Address Details
Address
711 Greenbrier Creek Road
City
Fort Gay
State
West Virginia
Zip
25514
Phone Number
304-356-4562
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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