Crystal Renea Dove

Individual provider Active NPI Personal Care Attendant · Augusta, WV

NPI 1831782358 · NPPES record last updated Feb 16, 2021

Key facts

NPI
1831782358
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
2964 Dunmore Ridge Rd
Augusta, WV 26704-5287
Phone
(304) 359-8227
NPI assigned
Feb 16, 2021
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

2964 Dunmore Ridge Rd
Augusta, WV 26704-5287

Mailing address

2964 Dunmore Ridge Rd
Augusta, WV 26704-5287
Phone (304) 359-8227

Other providers in Augusta, WV

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

Sources for this page

Verify at the official NPI Registry.