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Brooklyn R Black
Personal Care Attendant in Petersburg, West Virginia
NPI 1295406544

Brooklyn R Black is a Personal Care Attendant based in Petersburg, WV and is specialized in Personal Care Attendant. Brooklyn R Black practices in Petersburg, WV. The NPI Number for Brooklyn R Black is 1295406544 and holds a License No. (West Virginia).

The current practice location address for Brooklyn R Black is 111 Virginia Ave, Petersburg, WV and can be reached out via phone at 304-257-1666.

Location: 111 Virginia Ave, Petersburg, WV, 26847-1713
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295406544
Provider Name
Brooklyn R Black
Credential
Provider Entity Type
Individual
Gender
Female
Address
111 Virginia Ave, Petersburg, WV, 26847-1713
Phone Number
304-257-1666
Fax Number
Provider Enumeration Date
09/27/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
111 Virginia Ave
City
Petersburg
State
West Virginia
Zip
26847-1713
Phone Number
304-257-1666
Fax Number
person
Provider Business Mailing Address Details
Address
111 Virginia Ave
City
Petersburg
State
West Virginia
Zip
26847-1713
Phone Number
304-257-1666
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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