Individual provider · Type 1 NPI

Tisha Dawn Mallow

Homemaker · Buckhannon, WV

NPI number 1003410408 Active

Practice location

8 N Spring St
Buckhannon, WV 26201-2720

Call (304) 472-0395 Map

Fax (304) 471-2488

Mailing address

101 Caboose Drive
Harman, WV 26270

Specialties and licenses

TaxonomyCodeLicense
Personal Care Attendant 3747P1801XNone listed
Homemaker Primary 376J00000XNone listed

Homemaker: An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.

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About NPI 1003410408

Tisha Dawn Mallow's National Provider Identifier is 1003410408, issued on Nov 25, 2020. The primary taxonomy on file is Homemaker (376J00000X), and the practice location is in Buckhannon, WV. The record was last updated on Oct 2, 2023.