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Wallie F Cantrell JR.
Personal Care Attendant in Coal City, West Virginia
NPI 1609481902

Wallie F Cantrell JR. is a Personal Care Attendant based in Coal City, WV and is specialized in Personal Care Attendant. Wallie F Cantrell JR. practices in Coal City, WV. The NPI Number for Wallie F Cantrell JR. is 1609481902 and holds a License No. (West Virginia).

The current practice location address for Wallie F Cantrell JR. is 113 Clark St, Coal City, WV and can be reached out via phone at 681-207-6182.

Location: 113 Clark St, Coal City, WV, 25823-0300
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609481902
Provider Name
Wallie F Cantrell JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
113 Clark St, Coal City, WV, 25823-0300
Phone Number
681-207-6182
Fax Number
Provider Enumeration Date
09/14/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
113 Clark St
City
Coal City
State
West Virginia
Zip
25823
Phone Number
681-207-6182
Fax Number
person
Provider Business Mailing Address Details
Address
113 Clark St
City
Coal City
State
West Virginia
Zip
25823
Phone Number
681-207-6182
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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