Betty Jo Brotherton
Individual provider Active NPI Personal Care Attendant · Leon, WV
NPI 1144839465 · NPPES record last updated Jul 23, 2020
Key facts
- NPI
- 1144839465
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 12743 Leon Baden Rd
Leon, WV 25123-5366 - Phone
- (304) 812-8900
- NPI assigned
- Jul 23, 2020
- Sex
- Female
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
12743 Leon Baden Rd
Leon, WV 25123-5366
Mailing address
12743 Leon Baden Rd
Leon, WV 25123-5366
Phone (304) 812-8900
Other providers in Leon, WV
- Mark Adkins
- Carl Edward Bailes
- Nicholas Chase Bailes
- Gage Barr
- Tracy Blake
- Frankie Casto
- Stephanie Lynn Craig
- Hannah Meredith Dore
- Flat Rock Volunteer Fire Dept Inc
- Barbara Hall
All providers in Leon, 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 23, 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.