Amanda Lilly
Individual provider Active NPI Personal Care Attendant · Wayside, WV
NPI 1457066367 · NPPES record last updated Jan 16, 2023
Key facts
- NPI
- 1457066367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 9 Fox LN
Wayside, WV 24985-9313 - Phone
- (304) 660-8705
- NPI assigned
- Jan 16, 2023
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
9 Fox LN
Wayside, WV 24985-9313
Mailing address
9 Fox LN
Wayside, WV 24985-9313
Phone (304) 660-8705
Other providers in Wayside, WV
All providers in Wayside, WV · Personal Care Attendant 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 Jan 16, 2023. 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.