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Deidra Smith
Personal Care Attendant in Princeton, West Virginia
NPI 1467050583

Deidra Smith is a Personal Care Attendant based in Bluefield, WV and is specialized in Personal Care Attendant. Deidra Smith practices in Princeton, WV. The NPI Number for Deidra Smith is 1467050583 and holds a License No. 1568796027 (West Virginia).

The current practice location address for Deidra Smith is 600 Trent Street, Princeton, WV and can be reached out via phone at 304-425-7111 and via fax at 304-425-1138.

Location: 600 Trent Street, Princeton, WV, 24701-2883
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467050583
Provider Name
Deidra Smith
Credential
Provider Entity Type
Individual
Gender
Female
Address
600 Trent Street, Princeton, WV, 24701-2883
Phone Number
304-425-7111
Fax Number
304-425-1138
Provider Enumeration Date
10/12/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1982024741 05 WV
55-6025355 05 WV
institution
Provider Business Practice Location Address Details
Address
600 Trent Street
City
Princeton
State
West Virginia
Zip
24740
Phone Number
304-425-7111
Fax Number
304-425-1138
person
Provider Business Mailing Address Details
Address
600 Trent Street
City
Princeton
State
West Virginia
Zip
24740
Phone Number
304-425-7111
Fax Number
304-425-1138
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Personal Care Attendant
Taxonomy
3747P1801X
License No.
1568796027 (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
person
Provider's Taxonomy Details 2
Type
Nursing Service Related Providers
Classification
Homemaker
Speciality
-
Taxonomy
376J00000X
License No.
1568796027 (West Virginia)
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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