Amie Lynn Regillo

Individual provider Active NPI Personal Care Attendant · Mannington, WV

NPI 1346851243 · NPPES record last updated Jun 29, 2021

Key facts

NPI
1346851243
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
403 Pyles Ave
Mannington, WV 26582-1055
Phone
(304) 291-9066
NPI assigned
Aug 13, 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

403 Pyles Ave
Mannington, WV 26582-1055

Mailing address

403 Pyles Ave
Mannington, WV 26582-1055

Other providers in Mannington, WV

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

Sources for this page

Verify at the official NPI Registry.