MARY BETH WALLER NPI 1003411661

NPI Information

Mary Beth Waller is an attendant care provider technician in Somerset, KY. The provider is an individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. Mary Beth Waller NPI is 1003411661. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1471 BOAT DOCK RD
SOMERSET, KY
ZIP 42501-246
Phone: (606) 492-7620

The enumeration date for this NPI number is 12/2/2020 and was last updated on 12/2/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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