Paige Diana Smith

Individual provider Active NPI Personal Care Attendant · Le Roy, WV

NPI 1255940573 · NPPES record last updated Jul 23, 2020

Key facts

NPI
1255940573
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
10001 Spencer Rd
Le Roy, WV 25252-7049
Phone
(304) 377-2298
NPI assigned
Jul 23, 2020
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

10001 Spencer Rd
Le Roy, WV 25252-7049

Mailing address

10001 Spencer Rd
Le Roy, WV 25252-7049
Phone (304) 377-2298

Other providers in Le Roy, WV

All providers in Le Roy, WV · Personal Care Attendant in West Virginia

Sources for this page

Verify at the official NPI Registry.