Ellen Trout

Individual provider Active NPI Personal Care Attendant · Rupert, WV

NPI 1477248367 · NPPES record last updated Apr 7, 2023

Key facts

NPI
1477248367
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
3126 Anjean Rd
Rupert, WV 25984-6044
Phone
(304) 392-5848
NPI assigned
Apr 7, 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)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X Yes

Addresses

Primary practice location

3126 Anjean Rd
Rupert, WV 25984-6044

Mailing address

3126 Anjean Rd
Rupert, WV 25984-6044
Phone (304) 392-5848

Other providers in Rupert, WV

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

Sources for this page

Verify at the official NPI Registry.