Individual provider · Type 1 NPI

Wallie F. Cantrell Jr.

Personal Care Attendant · Coal City, WV

NPI number 1609481902 Active

Practice location

113 Clark St
Coal City, WV 25823

Call (681) 207-6182 Map

Mailing address

PO Box 300
Coal City, WV 25823-0300

Specialties and licenses

Taxonomy	Code	License
Personal Care Attendant Primary	3747P1801X	None 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 1609481902

Wallie F. Cantrell Jr.'s National Provider Identifier is 1609481902, issued on Sep 14, 2020. The primary taxonomy on file is Personal Care Attendant (3747P1801X), and the practice location is in Coal City, WV. The record was last updated on Sep 14, 2020.