Individual provider · Type 1 NPI

Theda Coleman

Homemaker · Charleston, WV

NPI number 1376367490 Active

Practice location

4510 Pennsylvania Ave Ste C
Charleston, WV 25302-4835

Call (304) 965-9081 Map

Fax (304) 471-2488

Mailing address

294 Clio Rd
Clendenin, WV 25045-8044

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 1376367490

Theda Coleman's National Provider Identifier is 1376367490, issued on Nov 14, 2024. The primary taxonomy on file is Homemaker (376J00000X), and the practice location is in Charleston, WV. The record was last updated on Nov 14, 2024.