Terra Lea Osborne

Individual provider Active NPI Personal Care Attendant · Peytona, WV

NPI 1083486831 · NPPES record last updated Nov 1, 2023

Key facts

NPI
1083486831
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
285 Marigold Lane
Peytona, WV 25154
Phone
(304) 542-4403
NPI assigned
Oct 25, 2023
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

285 Marigold Lane
Peytona, WV 25154

Mailing address

PO Box 180
Foster, WV 25081-0180
Phone (304) 542-4403

Other providers in Peytona, WV

All providers in Peytona, WV · Personal Care Attendant in West Virginia

Sources for this page

Verify at the official NPI Registry.