Edgar Lee Johnson Jr.
Technician, Personal Care Attendant in Morgantown, WV. Individual provider (NPI-1).
NPI number1619705985
StatusActive
Last updated in NPPESJul 26, 2024
Details
- NPI
- 1619705985
- Entity type
- Individual (NPI-1)
- Name
- Edgar Lee Johnson Jr.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 26, 2024
- Certification date
- Jul 26, 2024
- Last updated
- Jul 26, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
104 Agronomy Farm RdMorgantown, WV 26508-4111
Phone 304-996-3962
Mailing address
104 Agronomy Farm RdMorgantown, WV 26508-4111
Phone 304-996-3962
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All 461 Personal Care Attendant providers in Morgantown · All 6,887 providers in Morgantown
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