Crystal T Flaherty

Individual provider Active NPI Personal Care Attendant · Northfork, WV

NPI 1851998504 · NPPES record last updated Jan 10, 2023

Key facts

NPI
1851998504
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
5293 Cherokee Rd
Northfork, WV 24868-8103
Phone
(304) 862-3433
NPI assigned
Oct 6, 2020
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

5293 Cherokee Rd
Northfork, WV 24868-8103

Mailing address

PO Box 25
Northfork, WV 24868-0025
Phone (304) 862-3433

Other providers in Northfork, WV

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

Sources for this page

Verify at the official NPI Registry.