Sherry L Forquer

Individual provider Active NPI Personal Care Attendant · Fairview, WV

NPI 1942896006 · NPPES record last updated Jun 29, 2021

Key facts

NPI
1942896006
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
1155 Statler Run Rd
Fairview, WV 26570-8552
Phone
(304) 291-9066
NPI assigned
Dec 14, 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

1155 Statler Run Rd
Fairview, WV 26570-8552

Mailing address

1155 Statler Run Rd
Fairview, WV 26570-8552
Phone (304) 291-9066

Other providers in Fairview, WV

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

Sources for this page

Verify at the official NPI Registry.