Dennis Lester

Individual provider Active NPI Personal Care Attendant · Beverly, WV

NPI 1124630504 · NPPES record last updated Jun 29, 2021

Key facts

NPI
1124630504
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
19 Lee St
Beverly, WV 26253-1126
Phone
(304) 636-9396
NPI assigned
Aug 18, 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

19 Lee St
Beverly, WV 26253-1126

Mailing address

19 Lee St
Beverly, WV 26253-1126
Phone (304) 636-9396

Other providers in Beverly, WV

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

Sources for this page

Verify at the official NPI Registry.