Individual provider · Type 1 NPI

Brenda Bourque

Homemaker · Charleston, WV

NPI number 1811769607 Active

Practice location

4510 Pennsylvania Ave Ste C
Charleston, WV 25302-4835

Call (304) 965-9081 Map

Fax (304) 471-2488

Mailing address

PO Box 440
Cedar Grove, WV 25039-0440

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 1811769607

Brenda Bourque's National Provider Identifier is 1811769607, issued on Oct 25, 2023. The primary taxonomy on file is Homemaker (376J00000X), and the practice location is in Charleston, WV. The record was last updated on Oct 25, 2023.