Individual provider · Type 1 NPI

Kelly Lynn Moncada

Homemaker · Middlebourne, WV

NPI number 1700544384 Active

Practice location

504 Cherry St
Middlebourne, WV 26149-9618

Call (304) 758-4919 Map

Fax (304) 758-4680

Mailing address

PO Box 68
Middlebourne, WV 26149-0068

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 1700544384

Kelly Lynn Moncada's National Provider Identifier is 1700544384, issued on Dec 1, 2021. The primary taxonomy on file is Homemaker (376J00000X), and the practice location is in Middlebourne, WV. The record was last updated on Dec 1, 2021.