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Stephanie Marie Tedrow
Personal Care Attendant in Pine Grove, West Virginia
NPI 1255112173

Stephanie Marie Tedrow is a Personal Care Attendant based in Pine Grove, WV and is specialized in Personal Care Attendant. Stephanie Marie Tedrow practices in Pine Grove, WV. The NPI Number for Stephanie Marie Tedrow is 1255112173 and holds a License No. (West Virginia).

The current practice location address for Stephanie Marie Tedrow is 469 Alley Addition St, Pine Grove, WV and can be reached out via phone at 304-815-2389.

Location: 469 Alley Addition St, Pine Grove, WV, 26419-8211
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255112173
Provider Name
Stephanie Marie Tedrow
Credential
Provider Entity Type
Individual
Gender
Female
Address
469 Alley Addition St, Pine Grove, WV, 26419-8211
Phone Number
304-815-2389
Fax Number
Provider Enumeration Date
10/06/2023
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
469 Alley Addition St
City
Pine Grove
State
West Virginia
Zip
26419-8211
Phone Number
304-815-2389
Fax Number
person
Provider Business Mailing Address Details
Address
469 Alley Addition St
City
Pine Grove
State
West Virginia
Zip
26419-8211
Phone Number
304-815-2389
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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