Cody Cale

Individual provider Active NPI Personal Care Attendant · Mineral Wells, WV

NPI 1750112967 · NPPES record last updated Aug 9, 2024

Key facts

NPI
1750112967
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
375 Crown Manor Cir
Mineral Wells, WV 26150-0319
Phone
(304) 494-0326
NPI assigned
Aug 9, 2024
Sex
Male
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

375 Crown Manor Cir
Mineral Wells, WV 26150-0319

Mailing address

375 Crown Manor Cir
Mineral Wells, WV 26150-0319

Other providers in Mineral Wells, WV

All providers in Mineral Wells, WV · Personal Care Attendant in West Virginia

Sources for this page

Verify at the official NPI Registry.