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Mrs. Kathy Lorine Jackson
Personal Care Attendant in Wayne, West Virginia
NPI 1255940391

Kathy Lorine Jackson is a Personal Care Attendant based in Wayne, WV and is specialized in Personal Care Attendant. Kathy Lorine Jackson practices in Wayne, WV. The NPI Number for Kathy Lorine Jackson is 1255940391 and holds a License No. I502513 (West Virginia).

The current practice location address for Kathy Lorine Jackson is 2504 Toms Creek Rd, Wayne, WV and can be reached out via phone at 304-272-3528.

Location: 2504 Toms Creek Rd, Wayne, WV, 25570-9458
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255940391
Provider Name
Kathy Lorine Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
2504 Toms Creek Rd, Wayne, WV, 25570-9458
Phone Number
304-272-3528
Fax Number
Provider Enumeration Date
07/24/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2504 Toms Creek Rd
City
Wayne
State
West Virginia
Zip
25570-9458
Phone Number
304-272-3528
Fax Number
person
Provider Business Mailing Address Details
Address
2504 Toms Creek Rd
City
Wayne
State
West Virginia
Zip
25570-9458
Phone Number
304-272-3528
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Personal Care Attendant
Taxonomy
3747P1801X
License No.
I502513 (West Virginia)
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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