Daniel E Mullins

Individual provider Active NPI Personal Care Attendant · Herndon, WV

NPI 1104511096 · NPPES record last updated Apr 7, 2023

Key facts

NPI
1104511096
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
4309 Herndon Heights Rd
Herndon, WV 24726-8041
Phone
(304) 578-9900
NPI assigned
Apr 7, 2023
Sex
Male
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

4309 Herndon Heights Rd
Herndon, WV 24726-8041

Mailing address

4309 Herndon Heights Rd
Herndon, WV 24726-8041
Phone (304) 578-9900

Other providers in Herndon, WV

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

Sources for this page

Verify at the official NPI Registry.