Stacia Anne Logwood
Individual provider Active NPI Personal Care Attendant · Foster, WV
NPI 1104582329 · NPPES record last updated Nov 16, 2021
Key facts
- NPI
- 1104582329
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 2969 Foster Rd
Foster, WV 25081-6185 - Phone
- (571) 719-1157
- NPI assigned
- Nov 11, 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
2969 Foster Rd
Foster, WV 25081-6185
Mailing address
2969 Foster Rd
Foster, WV 25081-6185
Phone (571) 719-1157
Other providers in Foster, WV
- Sabrina Browning
- Sherry Dillon
- Tammy Renee Elkins
- Carrie Ann Fields
- Karrie Jarrell
- Frederick Stephen McCloud
- Rebecca Ann McCloud
- Rhonda L Price
- Pamela Sheppard
- Joi Beth Thompson
All providers in Foster, WV · Personal Care Attendant in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 16, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.