Individual provider · Type 1 NPI

Destiny Dawn Lilly

Personal Care Attendant · Princeton, WV

NPI number 1679392930 Active

Practice location

600 Trent Street
Princeton, WV 24740

Call (304) 425-7111 Map

Fax (304) 425-1138

Mailing address

355 Bluefield Ave
Bluefield, WV 24701-2883

Specialties and licenses

TaxonomyCodeLicense
Personal Care Attendant Primary 3747P1801X1568796027 (WV)

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 1679392930

Destiny Dawn Lilly's National Provider Identifier is 1679392930, issued on Oct 4, 2024. The primary taxonomy on file is Personal Care Attendant (3747P1801X), and the practice location is in Princeton, WV. The record was last updated on Oct 4, 2024.