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Mrs. Therisa Clark
Personal Care Attendant in Poca, West Virginia
NPI 1710485230

Therisa Clark is a Personal Care Attendant based in Poca, WV and is specialized in Personal Care Attendant. Therisa Clark practices in Poca, WV. The NPI Number for Therisa Clark is 1710485230 and holds a License No. (West Virginia).

The current practice location address for Therisa Clark is 421 Oakmont Dr, Poca, WV and can be reached out via phone at 304-755-4627.

Location: 421 Oakmont Dr, Poca, WV, 25159
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710485230
Provider Name
Therisa Clark
Credential
Provider Entity Type
Individual
Gender
Female
Address
421 Oakmont Dr, Poca, WV, 25159
Phone Number
304-755-4627
Fax Number
Provider Enumeration Date
01/30/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
G23890026691 01 PROVIDER ID
institution
Provider Business Practice Location Address Details
Address
421 Oakmont Dr
City
Poca
State
West Virginia
Zip
25159
Phone Number
304-755-4627
Fax Number
person
Provider Business Mailing Address Details
Address
421 Oakmont Dr
City
Poca
State
West Virginia
Zip
25159
Phone Number
304-755-4627
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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