Carlee Samantha Osborne

Individual provider Active NPI Personal Care Attendant · Man, WV

NPI 1215547138 · NPPES record last updated Jun 23, 2021

Key facts

NPI
1215547138
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
104 John St
Man, WV 25635-1209
Phone
(304) 583-9238
NPI assigned
Aug 5, 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)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X Yes

Addresses

Primary practice location

104 John St
Man, WV 25635-1209

Mailing address

104 John St
Man, WV 25635-1209
Phone (304) 583-9238

Other providers in Man, WV

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

Sources for this page

Verify at the official NPI Registry.