Vickie S Lusk
Individual provider Active NPI Personal Care Attendant · Maben, WV
NPI 1770180937 · NPPES record last updated Oct 1, 2020
Key facts
- NPI
- 1770180937
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 3750 Mountaineer Highway
Maben, WV 25870 - Phone
- (304) 294-5610
- Fax
- (304) 294-2040
- NPI assigned
- Oct 1, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Resources, Inc. | Past |
Accepting new patients | |
| Integrated Resources, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
3750 Mountaineer Highway
Maben, WV 25870
Mailing address
PO Box 835
Mullens, WV 25882-0835
Phone (304) 294-5610
Other providers in Maben, WV
- Erica A Laramie
- Braden W Layne
- Kaitlyn D Lester
- Summer Brooke Lester
- Pamela D Lockhart
- James Franklin Martin
- Amanda L Massey
- Hollie N Massie
- Patty Lea McKinney
- Dominique Adirah Mosley
All providers in Maben, 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 Oct 1, 2020. 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.