Sara Donamae Lively

Individual provider Active NPI Personal Care Attendant · Marmet, WV

NPI 1346962834 · NPPES record last updated Sep 13, 2022

Key facts

NPI
1346962834
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
830 85TH St
Marmet, WV 25315-1741
Phone
(304) 220-2126
NPI assigned
Sep 13, 2022
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

830 85TH St
Marmet, WV 25315-1741

Mailing address

830 85TH St
Marmet, WV 25315-1741
Phone (304) 220-2126

Other providers in Marmet, WV

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

Sources for this page

Verify at the official NPI Registry.