MS. KENTOYA VENGA WILLIS NPI 1053814426

NPI Information

MS. Kentoya Venga Willis is a personal care attendant technician in Tyler, TX. The provider is 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 MS. Kentoya Venga Willis NPI is 1053814426. 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:

4504 EDINBURGH DR
TYLER, TX
ZIP 75703-303
Phone: (903) 539-7754

The enumeration date for this NPI number is 3/13/2018 and was last updated on 3/13/2018.

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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