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Connie Diane Johnson
Homemaker in Summersville, West Virginia
NPI 1356958722

Connie Diane Johnson is a Homemaker based in Summersville, WV. Connie Diane Johnson practices in Summersville, WV. The NPI Number for Connie Diane Johnson is 1356958722 and holds a License No. (West Virginia).

The current practice location address for Connie Diane Johnson is 1205 Broad St, Summersville, WV and can be reached out via phone at 304-872-1162.

Location: 1205 Broad St, Summersville, WV, 26651-1805
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356958722
Provider Name
Connie Diane Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
1205 Broad St, Summersville, WV, 26651-1805
Phone Number
304-872-1162
Fax Number
Provider Enumeration Date
09/29/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1205 Broad St
City
Summersville
State
West Virginia
Zip
26651-1805
Phone Number
304-872-1162
Fax Number
person
Provider Business Mailing Address Details
Address
1205 Broad St
City
Summersville
State
West Virginia
Zip
26651-1805
Phone Number
304-872-1162
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Homemaker
Speciality
-
Taxonomy
376J00000X
License No.
()
Definition
An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.
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