Individual provider · Type 1 NPI

Destiny Rose Bolyard

Homemaker · Fairmont, WV

NPI number 1497630818 Active

Practice location

503 Morgantown Ave Ste 120
Fairmont, WV 26554-4384

Fax (304) 471-2488

Mailing address

1221 Brooks Ln
Fairmont, WV 26554-8453

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 1497630818

Destiny Rose Bolyard's National Provider Identifier is 1497630818, issued on Aug 6, 2025. The primary taxonomy on file is Homemaker (376J00000X), and the practice location is in Fairmont, WV. The record was last updated on Aug 6, 2025.