Laken Donielle Chambers

Individual provider Active NPI Personal Care Attendant · Cameron, WV

NPI 1609658178 · NPPES record last updated Oct 18, 2023

Key facts

NPI
1609658178
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
58 Crawford Ave
Cameron, WV 26033-1053
Phone
(304) 551-3212
NPI assigned
Oct 18, 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

58 Crawford Ave
Cameron, WV 26033-1053

Mailing address

58 Crawford Ave
Cameron, WV 26033-1053
Phone (304) 551-3212

Other identifiers

IdentifierTypeStateIssuer
1356607394MedicaidWV
125553494MedicaidWV
1821206228MedicaidWV

Other providers in Cameron, WV

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

Sources for this page

Verify at the official NPI Registry.