Martha Kay McCoy
Technician, Personal Care Attendant in Mannington, WV. Individual provider (NPI-1).
NPI number1124635149
StatusActive
Last updated in NPPESSep 24, 2020
Details
- NPI
- 1124635149
- Entity type
- Individual (NPI-1)
- Name
- Martha Kay McCoy
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 24, 2020
- Certification date
- Sep 24, 2020
- Last updated
- Sep 24, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
405 Jefferson StMannington, WV 26582-1065
Phone 304-694-7586
Mailing address
405 Jefferson StMannington, WV 26582-1065
Phone 304-694-7586
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All 39 Personal Care Attendant providers in Mannington · All 111 providers in Mannington
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