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Logan Mackenzie Willis
Personal Care Attendant in Petersburg, West Virginia
NPI 1295341675

Logan Mackenzie Willis is a Personal Care Attendant based in Petersburg, WV and is specialized in Personal Care Attendant. Logan Mackenzie Willis practices in Petersburg, WV. The NPI Number for Logan Mackenzie Willis is 1295341675 and holds a License No. (West Virginia).

The current practice location address for Logan Mackenzie Willis is 216 Clifftop Dr Apt 86, Petersburg, WV and can be reached out via phone at 304-668-2282.

Location: 216 Clifftop Dr Apt 86, Petersburg, WV, 26847-7650
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295341675
Provider Name
Logan Mackenzie Willis
Credential
Provider Entity Type
Individual
Gender
Male
Address
216 Clifftop Dr Apt 86, Petersburg, WV, 26847-7650
Phone Number
304-668-2282
Fax Number
Provider Enumeration Date
09/21/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
216 Clifftop Dr Apt 86
City
Petersburg
State
West Virginia
Zip
26847-8893
Phone Number
304-668-2282
Fax Number
person
Provider Business Mailing Address Details
Address
216 Clifftop Dr Apt 86
City
Petersburg
State
West Virginia
Zip
26847-8893
Phone Number
304-668-2282
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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