Chasity Dawn Thompson

Individual provider Active NPI Personal Care Attendant · Tornado, WV

NPI 1881455822 · NPPES record last updated Jan 24, 2024

Key facts

NPI
1881455822
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
1408 Buckner Rd
Tornado, WV 25202-8018
Phone
(304) 543-0128
NPI assigned
Jan 17, 2024
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

1408 Buckner Rd
Tornado, WV 25202-8018

Mailing address

PO Box 876
Elkview, WV 25071-0876
Phone (304) 543-0128

Other providers in Tornado, WV

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

Sources for this page

Verify at the official NPI Registry.