MARISA JADE SHUPE NPI 1205504776

NPI Information

Marisa Jade Shupe is a personal care attendant technician in Beckley, WV. 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 Marisa Jade Shupe NPI is 1205504776. 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:

307 WYOMING AVE
BECKLEY, WV
ZIP 25801-434
Phone: (276) 220-6817

The enumeration date for this NPI number is 8/31/2021 and was last updated on 8/31/2021.

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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