Individual provider · Type 1 NPI
Timothy Dean Stafford
Homemaker · Williamsburg, WV
NPI number
1225752637
Active
Practice location
9344 Shoestring Trl
Williamsburg, WV 24991-0141
Mailing address
PO Box 141
Williamsburg, WV 24991-0141
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Personal Care Attendant | 3747P1801X | EMP4738 (WV) |
| Homemaker Primary | 376J00000X | None 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.
About NPI 1225752637
Timothy Dean Stafford's National Provider Identifier is 1225752637, issued on Sep 29, 2022. The primary taxonomy on file is Homemaker (376J00000X), and the practice location is in Williamsburg, WV. The record was last updated on Oct 6, 2022.