Mary Ace
Individual provider Active NPI Personal Care Attendant · Charleston, WV
NPI 1205422896 · NPPES record last updated Dec 17, 2020
Key facts
- NPI
- 1205422896
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 1599 2ND Ave
Charleston, WV 25387-2514 - Phone
- (304) 344-0586
- NPI assigned
- Dec 17, 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 |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
1599 2ND Ave
Charleston, WV 25387-2514
Mailing address
PO Box 20112
Charleston, WV 25362-1112
Other providers in Charleston, WV
- Deborah Absten
- Shadi J Abu-Halimah
- Omar Abulaban
- Ali F Aburahma
- Zachary Thomas Aburahma
- Gregory Acord
- Hailie Acord
- Kayla Acord
- Beverly Lynn Acree-Patton
- Lindsay S Acree
All providers in Charleston, 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 17, 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.