Sandra L Griffith, PROGRAM DIRECTOR
Individual provider Active NPI Personal Care Attendant · Poca, WV
NPI 1124636832 · NPPES record last updated Jul 20, 2020
Key facts
- NPI
- 1124636832
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 1611 Charleston Road
Poca, WV 25159 - Phone
- (304) 769-8077
- NPI assigned
- Jul 20, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Service Station, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
1611 Charleston Road
Poca, WV 25159
Mailing address
PO Box 285
Alum Creek, WV 25003-0285
Phone (304) 906-0279
Other providers in Poca, WV
- Chasity Nicole Foster
- Rebecca Frampton
- Jessica R Fry
- Sami M Ghareeb
- Good Heart Therapy Services, PLLC
- Jacqueline Hayes
- Rhonda E Henning
- Sarah Hicks
- William Dennis Hilton
- Kristi James
All providers in Poca, 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 Jul 20, 2020. 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.