Angela Lawrence

Individual provider Active NPI Home Health Aide · Morgantown, WV

NPI 1104713015 · NPPES record last updated Jun 23, 2025

Key facts

NPI
1104713015
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Aide 374U00000X
Practice address
135 Estate Dr
Morgantown, WV 26508-5947
Phone
(304) 694-0141
NPI assigned
Jun 23, 2025
Sex
Unspecified or another gender identity
Sole proprietor
Yes

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
Home Health Aide 374U00000X Yes

Addresses

Primary practice location

135 Estate Dr
Morgantown, WV 26508-5947

Mailing address

135 Estate Dr
Morgantown, WV 26508-5947

Other providers in Morgantown, WV

All providers in Morgantown, WV · Home Health Aide in West Virginia

Sources for this page

Verify at the official NPI Registry.