Individual provider · Type 1 NPI

Koketa Fitzgerald

Personal Care Attendant · Bluefield, WV

NPI number 1750994364 Active

Practice location

239 Ellis St
Bluefield, WV 24701-3653

Call (304) 922-9557 Map

Specialties and licenses

TaxonomyCodeLicense
Personal Care Attendant Primary 3747P1801XNone 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 1750994364

Koketa Fitzgerald's National Provider Identifier is 1750994364, issued on Aug 25, 2020. The primary taxonomy on file is Personal Care Attendant (3747P1801X), and the practice location is in Bluefield, WV. The record was last updated on Jan 10, 2023.