Jordan Bailey
Technician, Personal Care Attendant in Vienna, WV. Individual provider (NPI-1).
NPI number1558032235
StatusActive
Last updated in NPPESSep 23, 2021
Details
- NPI
- 1558032235
- Entity type
- Individual (NPI-1)
- Name
- Jordan Bailey
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 23, 2021
- Certification date
- Sep 23, 2021
- Last updated
- Sep 23, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
1100 9th St Ste DVienna, WV 26105-2176
Phone 304-428-6148
Mailing address
1100 9th St Ste DVienna, WV 26105-2176
Phone 304-428-6148
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All 318 Personal Care Attendant providers in Vienna · All 641 providers in Vienna
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