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Gordon Braxton Lewis
Homemaker in Middlebourne, West Virginia
NPI 1699446716

Gordon Braxton Lewis is a Homemaker based in Middlebourne, WV. Gordon Braxton Lewis practices in Middlebourne, WV. The NPI Number for Gordon Braxton Lewis is 1699446716 and holds a License No. (West Virginia).

The current practice location address for Gordon Braxton Lewis is 504 Cherry St, Middlebourne, WV and can be reached out via phone at 304-758-4919 and via fax at 304-758-4680.

Location: 504 Cherry St, Middlebourne, WV, 26149-0068
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699446716
Provider Name
Gordon Braxton Lewis
Credential
Provider Entity Type
Individual
Gender
Male
Address
504 Cherry St, Middlebourne, WV, 26149-0068
Phone Number
304-758-4919
Fax Number
304-758-4680
Provider Enumeration Date
09/28/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
504 Cherry St
City
Middlebourne
State
West Virginia
Zip
26149-9618
Phone Number
304-758-4919
Fax Number
304-758-4680
person
Provider Business Mailing Address Details
Address
504 Cherry St
City
Middlebourne
State
West Virginia
Zip
26149-9618
Phone Number
304-758-4919
Fax Number
304-758-4680
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Homemaker
Speciality
-
Taxonomy
376J00000X
License No.
()
Definition
An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.
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