Joye L Gooslin

Individual provider Active NPI Personal Care Attendant · Matewan, WV

NPI 1104438993 · NPPES record last updated Jun 23, 2021

Key facts

NPI
1104438993
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
5 Ivory St
Matewan, WV 25678-1401
Phone
(606) 235-6616
NPI assigned
Aug 21, 2020
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

5 Ivory St
Matewan, WV 25678-1401

Mailing address

5 Ivory St
Matewan, WV 25678-1401
Phone (606) 235-6616

Other providers in Matewan, WV

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

Sources for this page

Verify at the official NPI Registry.