Dezirea Gorbey Boore
Individual provider Active NPI Home Health Aide · Mannington, WV
NPI 1275326332 · NPPES record last updated May 22, 2025
Key facts
- NPI
- 1275326332
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- Practice address
- 599 Plum Run Rd
Mannington, WV 26582-7283 - Phone
- (681) 758-5334
- NPI assigned
- May 22, 2025
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Yes |
Addresses
Primary practice location
599 Plum Run Rd
Mannington, WV 26582-7283
Mailing address
599 Plum Run Rd
Mannington, WV 26582-7283
Other providers in Mannington, WV
- Melinda Lee Fouse
- Leeanna Marie Frederick
- Susanne Garrett
- Susanne Given
- Peter Goodrich
- Brittany Greathouse
- Michele Gump
- Courtney Hamrick
- Laura Ann Harris
- Amanda Hart
All providers in Mannington, WV · Home Health Aide 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 May 22, 2025. 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.