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Individual provider Active NPI Personal Care Attendant · Elkview, WV
NPI 1871180596 · NPPES record last updated Dec 29, 2020
Key facts
- NPI
- 1871180596
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 117 McGrew Dr
Elkview, WV 25071-9304 - Phone
- (304) 400-5037
- NPI assigned
- Dec 29, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | WV | Yes |
Addresses
Primary practice location
117 McGrew Dr
Elkview, WV 25071-9304
Mailing address
117 McGrew Dr
Elkview, WV 25071-9304
Phone (304) 400-5037
Other providers in Elkview, WV
- Bailey J Parham
- Brenda Parker
- William Levi Parker
- Barbara Jean Parrott
- Pinch Anesthesia Associates,Inc.
- Don Edward Radcliff
- Nicole Joianna Reedy
- Shanna Roark
- Keith Rollins
- Cathleen Lynn Salisbury
All providers in Elkview, 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 Dec 29, 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.