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Individual provider Active NPI Personal Care Attendant · Wayne, WV

NPI 1497367106 · NPPES record last updated Aug 24, 2020

Key facts

NPI
1497367106
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
150 Mose Asbury Road
Wayne, WV 25570
Phone
(304) 360-7589
NPI assigned
Aug 24, 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)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X Yes

Addresses

Primary practice location

150 Mose Asbury Road
Wayne, WV 25570

Mailing address

150 Mose Asbury Road
Wayne, WV 25570
Phone (304) 360-7589

Other providers in Wayne, WV

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

Sources for this page

Verify at the official NPI Registry.