Frederick Stephen McCloud

Individual provider Active NPI Personal Care Attendant · Foster, WV

NPI 1609595941 · NPPES record last updated Aug 23, 2022

Key facts

NPI
1609595941
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
4029 Foster Rd
Foster, WV 25081-6191
Phone
(304) 369-8771
NPI assigned
Aug 22, 2022
Sex
Male
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

4029 Foster Rd
Foster, WV 25081-6191

Mailing address

4029 Foster Rd
Foster, WV 25081-6191
Phone (304) 369-8771

Other providers in Foster, WV

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

Sources for this page

Verify at the official NPI Registry.