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Nickolle Lynn Mack
Personal Care Attendant in Elizabeth, West Virginia
NPI 1841893096

Nickolle Lynn Mack is a Personal Care Attendant based in Elizabeth, WV and is specialized in Personal Care Attendant. Nickolle Lynn Mack practices in Elizabeth, WV. The NPI Number for Nickolle Lynn Mack is 1841893096 and holds a License No. (West Virginia).

The current practice location address for Nickolle Lynn Mack is 74 Senior Circle, Elizabeth, WV and can be reached out via phone at 304-275-3158 and via fax at 304-275-4631. You can also correspond with Nickolle Lynn Mack through the mailing address at PO BOX 370, ELIZABETH, WV - 26143-0370 (mailing address contact number: 304-275-3158).

Location: 74 Senior Circle, Elizabeth, WV, 26143-0370
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841893096
Provider Name
Nickolle Lynn Mack
Credential
Provider Entity Type
Individual
Gender
Female
Address
74 Senior Circle, Elizabeth, WV, 26143-0370
Phone Number
304-275-3158
Fax Number
304-275-4631
Provider Enumeration Date
11/19/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
74 Senior Circle
City
Elizabeth
State
West Virginia
Zip
26143-2614
Phone Number
304-275-3158
Fax Number
304-275-4631
person
Provider Business Mailing Address Details
Address
74 Senior Circle
City
Elizabeth
State
West Virginia
Zip
26143-2614
Phone Number
304-275-3158
Fax Number
304-275-4631
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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