Elizabeth Liebig

Individual provider Active NPI Personal Care Attendant · Chloe, WV

NPI 1629684394 · NPPES record last updated Sep 18, 2020

Key facts

NPI
1629684394
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
350 Serendipity Dr
Chloe, WV 25235-7002
Phone
(304) 655-7553
NPI assigned
Sep 18, 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

350 Serendipity Dr
Chloe, WV 25235-7002

Mailing address

350 Serendipity Dr
Chloe, WV 25235-7002
Phone (304) 655-7553

Other providers in Chloe, WV

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

Sources for this page

Verify at the official NPI Registry.