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Brian Thomas Engravalle
Personal Care Attendant in Moundsville, West Virginia
NPI 1730960659

Brian Thomas Engravalle is a Personal Care Attendant based in Moundsville, WV and is specialized in Personal Care Attendant. Brian Thomas Engravalle practices in Moundsville, WV. The NPI Number for Brian Thomas Engravalle is 1730960659 and holds a License No. (West Virginia).

The current practice location address for Brian Thomas Engravalle is 3759 Mccrearys Ridge Rd, Moundsville, WV and can be reached out via phone at 816-504-7556.

Location: 3759 Mccrearys Ridge Rd, Moundsville, WV, 26041-1697
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730960659
Provider Name
Brian Thomas Engravalle
Credential
Provider Entity Type
Individual
Gender
Male
Address
3759 Mccrearys Ridge Rd, Moundsville, WV, 26041-1697
Phone Number
816-504-7556
Fax Number
Provider Enumeration Date
10/06/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
125553494 05 WV
1356607394 05 WV
1821206228 05 WV
institution
Provider Business Practice Location Address Details
Address
3759 Mccrearys Ridge Rd
City
Moundsville
State
West Virginia
Zip
26041-1697
Phone Number
816-504-7556
Fax Number
person
Provider Business Mailing Address Details
Address
3759 Mccrearys Ridge Rd
City
Moundsville
State
West Virginia
Zip
26041-1697
Phone Number
816-504-7556
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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