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Courtney Desiree Pack
Personal Care Attendant in Kermit, West Virginia
NPI 1619735685

Courtney Desiree Pack is a Personal Care Attendant based in Kermit, WV and is specialized in Personal Care Attendant. Courtney Desiree Pack practices in Kermit, WV. The NPI Number for Courtney Desiree Pack is 1619735685 and holds a License No. (West Virginia).

The current practice location address for Courtney Desiree Pack is 1378 Left Fork Marrowbone Crk, Kermit, WV and can be reached out via phone at 304-733-1094.

Location: 1378 Left Fork Marrowbone Crk, Kermit, WV, 25674-7275
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619735685
Provider Name
Courtney Desiree Pack
Credential
Provider Entity Type
Individual
Gender
Female
Address
1378 Left Fork Marrowbone Crk, Kermit, WV, 25674-7275
Phone Number
304-733-1094
Fax Number
Provider Enumeration Date
03/13/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
1378 Left Fork Marrowbone Crk
City
Kermit
State
West Virginia
Zip
25674-7275
Phone Number
304-733-1094
Fax Number
person
Provider Business Mailing Address Details
Address
1378 Left Fork Marrowbone Crk
City
Kermit
State
West Virginia
Zip
25674-7275
Phone Number
304-733-1094
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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