Carolyn Sue Ridenour

Individual provider Active NPI Personal Care Attendant · Rawlings, MD

NPI 1861136699 · NPPES record last updated Apr 27, 2022

Key facts

NPI
1861136699
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
24427 21St Bridge Rd SW
Rawlings, MD 21557-2332
Phone
(043) 788-5467
Fax
(304) 788-6363
NPI assigned
Apr 27, 2022
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

24427 21St Bridge Rd SW
Rawlings, MD 21557-2332

Mailing address

24427 21St Bridge Rd SW
Rawlings, MD 21557-2332
Phone (304) 788-5467

Other providers in Rawlings, MD

All providers in Rawlings, MD · Personal Care Attendant in Maryland

Sources for this page

Verify at the official NPI Registry.