Deja Elliott
Individual provider Active NPI Personal Care Attendant · West Union, WV
NPI 1174129308 · NPPES record last updated Dec 11, 2020
Key facts
- NPI
- 1174129308
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 417 W Main St
West Union, WV 26456-1127 - Phone
- (304) 873-2061
- NPI assigned
- Dec 11, 2020
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Attendant Care Provider | 3747A0650X | |||
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
417 W Main St
West Union, WV 26456-1127
Mailing address
PO Box 432
West Union, WV 26456-0432
Other providers in West Union, WV
- Doddridge County Health Department
- Brittany Dotson
- Kathy Dotson
- Teresa Dotson
- Jennifer Dunaway
- Dena Elliott
- Tara Gains
- Crystal Gaskins
- Casey Golden
- Cindy Grinder
All providers in West Union, 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 Dec 11, 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.