Jori Louise Brim

Individual provider Active NPI Personal Care Attendant · Kenova, WV

NPI 1972118941 · NPPES record last updated Sep 15, 2020

Key facts

NPI
1972118941
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
820 Poplar St
Kenova, WV 25530-1530
Phone
(304) 453-4992
NPI assigned
Sep 15, 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

820 Poplar St
Kenova, WV 25530-1530

Mailing address

820 Poplar St
Kenova, WV 25530-1530
Phone (304) 453-4992

Other providers in Kenova, WV

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

Sources for this page

Verify at the official NPI Registry.