Gwendolyn Coles
Individual provider Active NPI Personal Care Attendant · South Charleston, WV
NPI 1467058693 · NPPES record last updated Dec 11, 2020
Key facts
- NPI
- 1467058693
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 144 7TH Ave
South Charleston, WV 25303-1452 - Phone
- (304) 744-4081
- Fax
- (304) 744-8606
- NPI assigned
- Dec 11, 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
144 7TH Ave
South Charleston, WV 25303-1452
Mailing address
144 7TH Ave
South Charleston, WV 25303-1452
Phone (304) 744-4081
Other providers in South Charleston, WV
- Jason Coleman
- Jessica Ann Coleman
- Lillian Coleman
- Patricia Coleman
- Selena Coleman
- Benjamin Hubbard Coll
- Deanna Collins
- Erica D. Collins
- Keiosha Collins
- Melissa Collins
All providers in South Charleston, 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 Dec 11, 2020. 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.