Ivy O'Neal
Technician, Personal Care Attendant in Clay, WV. Individual provider (NPI-1).
NPI number1760147474
StatusActive
Last updated in NPPESNov 8, 2021
Details
- NPI
- 1760147474
- Entity type
- Individual (NPI-1)
- Name
- Ivy O'Neal
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 8, 2021
- Certification date
- Oct 19, 2021
- Last updated
- Nov 8, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
172 Main StreetClay, WV 25043
Phone 304-587-4251
Mailing address
Po Box 455Clay, WV 25043-0455
Phone 304-587-4251
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