Cheyenne Growden

Individual provider Active NPI Personal Care Attendant · Dailey, WV

NPI 1942976287 · NPPES record last updated Aug 17, 2021

Key facts

NPI
1942976287
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
Lot 20 Valley Park
Dailey, WV 26259
Phone
(304) 636-9326
NPI assigned
Aug 17, 2021
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

Lot 20 Valley Park
Dailey, WV 26259

Mailing address

501 Wilson LN
Elkins, WV 26241-5216
Phone (304) 636-9326

Other providers in Dailey, WV

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

Sources for this page

Verify at the official NPI Registry.