Shellia Jean Grimmett

Individual provider Active NPI Personal Care Attendant · Man, WV

NPI 1093455149 · NPPES record last updated Mar 29, 2022

Key facts

NPI
1093455149
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
1146 Greenville Rd.
Man, WV 25635
Phone
(304) 583-2399
NPI assigned
Mar 29, 2022
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

1146 Greenville Rd.
Man, WV 25635

Mailing address

1146 Greenville Rd.
Man, WV 25635

Other providers in Man, WV

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

Sources for this page

Verify at the official NPI Registry.