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Alonzo Moore
Personal Care Attendant in Charleston, West Virginia
NPI 1598431744

Alonzo Moore is a Personal Care Attendant based in Charleston, WV and is specialized in Personal Care Attendant. Alonzo Moore practices in Charleston, WV. The NPI Number for Alonzo Moore is 1598431744 and holds a License No. (West Virginia).

The current practice location address for Alonzo Moore is 1710 Pennsylvania Ave, Charleston, WV and can be reached out via phone at 130-434-8070.

Location: 1710 Pennsylvania Ave, Charleston, WV, 25302-3934
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598431744
Provider Name
Alonzo Moore
Credential
Provider Entity Type
Individual
Gender
Male
Address
1710 Pennsylvania Ave, Charleston, WV, 25302-3934
Phone Number
130-434-8070
Fax Number
Provider Enumeration Date
08/18/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1982825972 05 WV
1255476511 05 WV
institution
Provider Business Practice Location Address Details
Address
1710 Pennsylvania Ave
City
Charleston
State
West Virginia
Zip
25302-3934
Phone Number
130-434-8070
Fax Number
person
Provider Business Mailing Address Details
Address
1710 Pennsylvania Ave
City
Charleston
State
West Virginia
Zip
25302-3934
Phone Number
130-434-8070
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Personal Care Attendant
Taxonomy
3747P1801X
License No.
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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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