Individual provider · Type 1 NPI

Jackie Lee King

Personal Care Attendant · Falling Waters, WV

NPI number 1003793829 Active

Practice location

19 Ontario Dr
Falling Waters, WV 25419-0059

Call (240) 382-5933 Map

Specialties and licenses

TaxonomyCodeLicense
Personal Care Attendant Primary 3747P1801XNone listed

Personal Care Attendant: 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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About NPI 1003793829

Jackie Lee King's National Provider Identifier is 1003793829, issued on Aug 21, 2025. The primary taxonomy on file is Personal Care Attendant (3747P1801X), and the practice location is in Falling Waters, WV. The record was last updated on Aug 21, 2025.