Janie Elizabeth Green

Individual provider Active NPI Personal Care Attendant · Waverly, WV

NPI 1245746437 · NPPES record last updated Dec 26, 2017

Key facts

NPI
1245746437
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
934 Love Hill Rd
Waverly, WV 26184-3264
Phone
(304) 679-7454
NPI assigned
Dec 26, 2017
Sex
Female
Sole proprietor
Yes

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

934 Love Hill Rd
Waverly, WV 26184-3264

Mailing address

934 Love Hill Rd
Waverly, WV 26184-3264
Phone (304) 679-7454

Other providers in Waverly, WV

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

Sources for this page

Verify at the official NPI Registry.