Clarence E Mitchell
Individual provider Active NPI Personal Care Attendant · Lester, WV
NPI 1164036919 · NPPES record last updated Aug 31, 2020
Key facts
- NPI
- 1164036919
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 201 Valley Ave
Lester, WV 25865-7709 - Phone
- (304) 934-6118
- NPI assigned
- Aug 31, 2020
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
201 Valley Ave
Lester, WV 25865-7709
Mailing address
PO Box 134
Beckley, WV 25802-0134
Phone (304) 934-6118
Other providers in Lester, WV
- Norma Jean Gwinn
- Tamela Hall
- Sirena Hannah
- Cynthia Hatfield
- Michelle Dawn Huerta
- Emmalea Pauley
- Milette Pauley
- Mabel Permelia
- Makayla Peters
- Amber Powers
All providers in Lester, 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 Aug 31, 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.