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Caleb Wallace
Personal Care Attendant in Cross Lanes, West Virginia
NPI 1962124388

Caleb Wallace is a Personal Care Attendant based in Cross Lanes, WV and is specialized in Personal Care Attendant. Caleb Wallace practices in Cross Lanes, WV. The NPI Number for Caleb Wallace is 1962124388 and holds a License No. (West Virginia).

The current practice location address for Caleb Wallace is 5512 Big Tyler Rd, Cross Lanes, WV and can be reached out via phone at 304-766-9830.

Location: 5512 Big Tyler Rd, Cross Lanes, WV, 25313-1304
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962124388
Provider Name
Caleb Wallace
Credential
Provider Entity Type
Individual
Gender
Male
Address
5512 Big Tyler Rd, Cross Lanes, WV, 25313-1304
Phone Number
304-766-9830
Fax Number
Provider Enumeration Date
09/13/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5512 Big Tyler Rd
City
Cross Lanes
State
West Virginia
Zip
25313-1304
Phone Number
304-766-9830
Fax Number
person
Provider Business Mailing Address Details
Address
5512 Big Tyler Rd
City
Cross Lanes
State
West Virginia
Zip
25313-1304
Phone Number
304-766-9830
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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