Makayla Holland

Individual provider Active NPI Personal Care Attendant · Wayne, WV

NPI 1154073872 · NPPES record last updated Jan 24, 2022

Key facts

NPI
1154073872
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
172 Right FRK Newcomb CRK Rd
Wayne, WV 25570-5182
Phone
(304) 730-9664
NPI assigned
Jan 24, 2022
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 WV Yes

Addresses

Primary practice location

172 Right FRK Newcomb CRK Rd
Wayne, WV 25570-5182

Mailing address

3609 Hughes St
Huntington, WV 25704-1952

Other providers in Wayne, WV

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

Sources for this page

Verify at the official NPI Registry.