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Mr. Jeremy Michael Clark
Personal Care Attendant in Paden City, West Virginia
NPI 1972107704

Jeremy Michael Clark is a Personal Care Attendant based in Paden City, WV and is specialized in Personal Care Attendant. Jeremy Michael Clark practices in Paden City, WV. The NPI Number for Jeremy Michael Clark is 1972107704 and holds a License No. (West Virginia).

The current practice location address for Jeremy Michael Clark is 714 N 4Th Ave, Paden City, WV and can be reached out via phone at 757-532-0680.

Location: 714 N 4Th Ave, Paden City, WV, 26159-1614
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972107704
Provider Name
Jeremy Michael Clark
Credential
Provider Entity Type
Individual
Gender
Male
Address
714 N 4Th Ave, Paden City, WV, 26159-1614
Phone Number
757-532-0680
Fax Number
Provider Enumeration Date
11/23/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
714 N 4Th Ave
City
Paden City
State
West Virginia
Zip
26159-1614
Phone Number
757-532-0680
Fax Number
person
Provider Business Mailing Address Details
Address
714 N 4Th Ave
City
Paden City
State
West Virginia
Zip
26159-1614
Phone Number
757-532-0680
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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