Russell Bailey-Spence

Individual provider Active NPI Personal Care Attendant · Huntington, WV

NPI 1144939232 · NPPES record last updated Nov 17, 2022

Key facts

NPI
1144939232
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
555 5TH Ave Ste 4
Huntington, WV 25701-1907
Phone
(304) 733-9678
NPI assigned
Nov 17, 2022
Sex
Male
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

555 5TH Ave Ste 4
Huntington, WV 25701-1907

Mailing address

4707 Darnell Rd
Huntington, WV 25705-3115
Phone (304) 733-9678

Other providers in Huntington, WV

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

Sources for this page

Verify at the official NPI Registry.