Lisa Boggs

Individual provider Active NPI Personal Care Attendant · Keyser, WV

NPI 1730807447 · NPPES record last updated Aug 18, 2022

Key facts

NPI
1730807447
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
116 Mozelle St
Keyser, WV 26726-3319
Phone
(304) 209-1329
NPI assigned
Aug 18, 2022
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

116 Mozelle St
Keyser, WV 26726-3319

Mailing address

116 Mozelle St
Keyser, WV 26726-3319
Phone (304) 209-1329

Other providers in Keyser, WV

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

Sources for this page

Verify at the official NPI Registry.