Individual provider · Type 1 NPI

Lisa Dougherty

Homemaker · Fairmont, WV

NPI number 1063016475 Active

Practice location

503 Morgantown Ave
Fairmont, WV 26554-4388

Call (304) 363-7375 Map

Fax (304) 363-7376

Mailing address

217 Hecks Run Rd
Fairmont, WV 26554-2277

Specialties and licenses

TaxonomyCodeLicense
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 1063016475

Lisa Dougherty's National Provider Identifier is 1063016475, issued on Nov 25, 2020. The primary taxonomy on file is Homemaker (376J00000X), and the practice location is in Fairmont, WV. The record was last updated on Nov 25, 2020.