Melissa Metheny

Individual provider Active NPI Personal Care Attendant · Bruceton Mills, WV

NPI 1063002111 · NPPES record last updated Jan 22, 2021

Key facts

NPI
1063002111
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
92 Laurel Run Pisgah Rd
Bruceton Mills, WV 26525-5550
Phone
(304) 435-7785
NPI assigned
Jan 22, 2021
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X Yes

Addresses

Primary practice location

92 Laurel Run Pisgah Rd
Bruceton Mills, WV 26525-5550

Mailing address

1000 Technology Dr Ste 3310
Fairmont, WV 26554-8832

Other providers in Bruceton Mills, WV

All providers in Bruceton Mills, WV · Personal Care Attendant in West Virginia

Sources for this page

Verify at the official NPI Registry.