MRS. THERISA CLARK
NPI 1710485230
Technician - Personal Care Attendant in Poca, WV

Active since January 30, 2018
421 OAKMONT DR, POCA, WV 25159(304) 755-4627 Get Directions Write a Review

NPPES record last updated: January 30, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Therisa Clark NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. THERISA CLARK (NPI 1710485230) is an individual personal care attendant in Poca, West Virginia and active in the NPI registry since January 2018.

NPPES Registry Identity

NPI1710485230
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NameMRS. THERISA CLARK
Location Address421 OAKMONT DRPoca, WV 25159
Mailing Address421 Oakmont DrPoca, WV 25159
Sole ProprietorYes
Enumeration DateJanuary 30, 2018
NPI 1710485230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
Definition

An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards

421 OAKMONT DR, Poca, WV 25159

Other Identifiers 1

OtherG23890026691Provider Id

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710485230, enumerated as an "individual" on January 30, 2018.

The provider is located at 421 OAKMONT DR POCA, WV 25159 and the phone number is (304) 755-4627.

Technician with taxonomy code 3747P1801X and a focus in Personal Care Attendant.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.