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Kandal Lynn Thacker
Personal Care Attendant in Williamson, West Virginia
NPI 1386258325

Kandal Lynn Thacker is a Personal Care Attendant based in Williamson, WV and is specialized in Personal Care Attendant. Kandal Lynn Thacker practices in Williamson, WV. The NPI Number for Kandal Lynn Thacker is 1386258325 and holds a License No. (West Virginia).

The current practice location address for Kandal Lynn Thacker is 1110 E 5Th Ave, Williamson, WV and can be reached out via phone at 606-625-6480.

Location: 1110 E 5Th Ave, Williamson, WV, 25661-3905
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386258325
Provider Name
Kandal Lynn Thacker
Credential
Provider Entity Type
Individual
Gender
Female
Address
1110 E 5Th Ave, Williamson, WV, 25661-3905
Phone Number
606-625-6480
Fax Number
Provider Enumeration Date
09/08/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1110 E 5Th Ave
City
Williamson
State
West Virginia
Zip
25661-3905
Phone Number
606-625-6480
Fax Number
person
Provider Business Mailing Address Details
Address
1110 E 5Th Ave
City
Williamson
State
West Virginia
Zip
25661-3905
Phone Number
606-625-6480
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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