Amanda Dickens

Individual provider Active NPI Home Health Aide · Fairdale, WV

NPI 1487538898 · NPPES record last updated Jul 31, 2025

Key facts

NPI
1487538898
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Aide 374U00000X
Practice address
408 Granite LN
Fairdale, WV 25839-1141
Phone
(304) 673-9214
NPI assigned
Jul 31, 2025
Sex
Female
Sole proprietor
Yes

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
Home Health Aide 374U00000X Yes

Addresses

Primary practice location

408 Granite LN
Fairdale, WV 25839-1141

Mailing address

PO Box 121
Fairdale, WV 25839-0121

Other providers in Fairdale, WV

All providers in Fairdale, WV · Home Health Aide in West Virginia

Sources for this page

Verify at the official NPI Registry.