Jerry Anderson
Jerry Anderson is a Personal Care Attendant in Logan, West Virginia. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
3061 Old Logan RdLogan, WV 25601-3367
Phone: (304) 687-7783
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Personal Care Attendant (primary) | Taxonomy 3747P1801X |
|---|
Record details
| NPI number | 1215549373 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 20, 2020 |
| Last updated in NPPES | August 20, 2020 |
| Certification date | August 20, 2020 |
| Mailing address | 3061 Old Logan Rd, Logan, WV 25601-3367 |
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