Individual provider · Type 1 NPI

Jennifer Mabry-Goins

Attendant Care Provider · South Charleston, WV

NPI number 1629690177 Active

Practice location

4505 River Avenue
South Charleston, WV 25309

Specialties and licenses

TaxonomyCodeLicense
Attendant Care Provider Primary 3747A0650XNone listed

Attendant Care Provider: An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.

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About NPI 1629690177

Jennifer Mabry-Goins's National Provider Identifier is 1629690177, issued on May 7, 2020. The primary taxonomy on file is Attendant Care Provider (3747A0650X), and the practice location is in South Charleston, WV. The record was last updated on May 7, 2020.