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Randall Walls JR.
Personal Care Attendant in Bruceton Mills, West Virginia
NPI 1609482298

Randall Walls JR. is a Personal Care Attendant based in Bruceton Mills, WV and is specialized in Personal Care Attendant. Randall Walls JR. practices in Bruceton Mills, WV. The NPI Number for Randall Walls JR. is 1609482298 and holds a License No. (West Virginia).

The current practice location address for Randall Walls JR. is 2301 Laurel Run Pisgah Rd, Bruceton Mills, WV and can be reached out via phone at 304-685-8219. You can also correspond with Randall Walls JR. through the mailing address at 2301 LAUREL RUN PISGAH RD, BRUCETON MILLS, WV - 26525-5693 (mailing address contact number: 304-685-8219).

Location: 2301 Laurel Run Pisgah Rd, Bruceton Mills, WV, 26525-5693
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609482298
Provider Name
Randall Walls JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
2301 Laurel Run Pisgah Rd, Bruceton Mills, WV, 26525-5693
Phone Number
304-685-8219
Fax Number
Provider Enumeration Date
09/18/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2301 Laurel Run Pisgah Rd
City
Bruceton Mills
State
West Virginia
Zip
26525-5693
Phone Number
304-685-8219
Fax Number
person
Provider Business Mailing Address Details
Address
2301 Laurel Run Pisgah Rd
City
Bruceton Mills
State
West Virginia
Zip
26525-5693
Phone Number
304-685-8219
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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