Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shane Jaxyn Logen Williams

Individual provider Personal Care Attendant · NPI 1467189571

Shane Jaxyn Logen Williams is a Personal Care Attendant in Moundsville, West Virginia. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

206 Ash Ave
Moundsville, WV 26041-1536
Phone: (681) 588-7733
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Personal Care Attendant (primary) Taxonomy 3747P1801X

Record details

NPI number1467189571
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 8, 2022
Last updated in NPPESAugust 8, 2022
Certification dateAugust 8, 2022

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