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Timothy Clark
Personal Care Attendant in Cross Lanes, West Virginia
NPI 1568175271

Timothy Clark is a Personal Care Attendant based in Saint Albans, WV and is specialized in Personal Care Attendant. Timothy Clark practices in Cross Lanes, WV. The NPI Number for Timothy Clark is 1568175271 and holds a License No. (West Virginia).

The current practice location address for Timothy Clark is 5512 Big Tyler Rd, Cross Lanes, WV and can be reached out via phone at 304-766-9830.

Location: 5512 Big Tyler Rd, Cross Lanes, WV, 25177-3305
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568175271
Provider Name
Timothy Clark
Credential
Provider Entity Type
Individual
Gender
Male
Address
5512 Big Tyler Rd, Cross Lanes, WV, 25177-3305
Phone Number
304-766-9830
Fax Number
Provider Enumeration Date
12/28/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5512 Big Tyler Rd
City
Cross Lanes
State
West Virginia
Zip
25313-1304
Phone Number
304-766-9830
Fax Number
person
Provider Business Mailing Address Details
Address
5512 Big Tyler Rd
City
Cross Lanes
State
West Virginia
Zip
25313-1304
Phone Number
304-766-9830
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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