Loretta Wanda Pennington, PCA

Individual provider Active NPI Personal Care Attendant · Hambleton, WV

NPI 1700399482 · NPPES record last updated Nov 16, 2017

Key facts

NPI
1700399482
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
181 Rabbit Run Rd
Hambleton, WV 26269-8020
Phone
(304) 478-3881
NPI assigned
Nov 16, 2017
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

181 Rabbit Run Rd
Hambleton, WV 26269-8020

Mailing address

181 Rabbit Run Road
Hambleton, WV 26269
Phone (304) 478-3881

Other names

  • Mrs. Loretta Wanda Falls Former name

Other providers in Hambleton, WV

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

Sources for this page

Verify at the official NPI Registry.