Desiree Bailes

Individual provider Active NPI Personal Care Attendant · Huntington, WV

NPI 1306609227 · NPPES record last updated Feb 2, 2024

Key facts

NPI
1306609227
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
555 5TH Ave
Huntington, WV 25701-1907
Phone
(304) 733-9678
NPI assigned
Feb 2, 2024
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

555 5TH Ave
Huntington, WV 25701-1907

Mailing address

555 5TH Ave Ste 4
Huntington, WV 25701-1907

Other providers in Huntington, WV

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

Sources for this page

Verify at the official NPI Registry.