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Destiny Marie Bolen
Personal Care Attendant in Moundsville, West Virginia
NPI 1164153250

Destiny Marie Bolen is a Personal Care Attendant based in Moundsville, WV and is specialized in Personal Care Attendant. Destiny Marie Bolen practices in Moundsville, WV. The NPI Number for Destiny Marie Bolen is 1164153250 and holds a License No. (West Virginia).

The current practice location address for Destiny Marie Bolen is 1915 7Th St, Moundsville, WV and can be reached out via phone at 304-312-0811.

Location: 1915 7Th St, Moundsville, WV, 26041-2024
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164153250
Provider Name
Destiny Marie Bolen
Credential
Provider Entity Type
Individual
Gender
Female
Address
1915 7Th St, Moundsville, WV, 26041-2024
Phone Number
304-312-0811
Fax Number
Provider Enumeration Date
06/21/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1356607394 05 WV
125553494 05 WV
1821206228 05 WV
institution
Provider Business Practice Location Address Details
Address
1915 7Th St
City
Moundsville
State
West Virginia
Zip
26041-2024
Phone Number
304-312-0811
Fax Number
person
Provider Business Mailing Address Details
Address
1915 7Th St
City
Moundsville
State
West Virginia
Zip
26041-2024
Phone Number
304-312-0811
Fax Number
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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