Derika Ann Day

Individual provider Active NPI Personal Care Attendant · Holden, WV

NPI 1104583541 · NPPES record last updated Nov 19, 2021

Key facts

NPI
1104583541
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
78 Field Stone Rd,.
Holden, WV 25625
Phone
(304) 953-4304
NPI assigned
Nov 19, 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)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X Yes

Addresses

Primary practice location

78 Field Stone Rd,.
Holden, WV 25625

Mailing address

78 Field Stone Rd.
Holden, WV 25625
Phone (304) 953-4304

Other providers in Holden, WV

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

Sources for this page

Verify at the official NPI Registry.