Sandra Ray Shumaker

Individual provider Active NPI Personal Care Attendant · Thornton, WV

NPI 1700640745 · NPPES record last updated Feb 9, 2024

Key facts

NPI
1700640745
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
1378 Shumaker Ridge Rd
Thornton, WV 26440-7479
Phone
(304) 265-3507
NPI assigned
Feb 9, 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)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X Yes

Addresses

Primary practice location

1378 Shumaker Ridge Rd
Thornton, WV 26440-7479

Mailing address

1378 Shumaker Ridge Rd
Thornton, WV 26440-7479
Phone (304) 265-3507

Other providers in Thornton, WV

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

Sources for this page

Verify at the official NPI Registry.