Elaine Marcum
Individual provider Active NPI Personal Care Attendant · Kermit, WV
NPI 1548086333 · NPPES record last updated Nov 26, 2024
Key facts
- NPI
- 1548086333
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 1339 Left Fork Marrowbone Creek Rd.
Kermit, WV 25674 - Phone
- (304) 733-1094
- NPI assigned
- Nov 26, 2024
- 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
1339 Left Fork Marrowbone Creek Rd.
Kermit, WV 25674
Mailing address
1339 Left Fork Marrowbone Creek Rd.
Kermit, WV 25674
Other providers in Kermit, WV
- Justice Medical Complex
- Marlena Kirk
- Crystal Gail Krimm
- Morgan Brooks Leffel
- Candace Marcum
- Helena Gladys Mayhew
- Jacob Tyler Maynard
- Kristen Faith Maynard
- Jessica Dawn Meade
- Medicine Cabinet LLC
All providers in Kermit, 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 Nov 26, 2024. 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.