Hope Marie Pettry
Individual provider Active NPI Personal Care Attendant · Clear Fork, WV
NPI 1760171664 · NPPES record last updated May 5, 2023
Key facts
- NPI
- 1760171664
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 223 Charity LN
Clear Fork, WV 24822-9720 - Phone
- (304) 923-9481
- NPI assigned
- May 5, 2023
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
223 Charity LN
Clear Fork, WV 24822-9720
Mailing address
PO Box 26
Lynco, WV 24857-0026
Phone (304) 923-9481
Other providers in Clear Fork, WV
- Pam Cline
- Kirsten Rae Landis
- Shania Lester
- Mary Ann Lusk
- Angel McCoy-Green
- Sophie Marie Rye
- Jerry Lee Smith
All providers in Clear Fork, WV · Personal Care Attendant in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 5, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.