Imane Brown

Individual provider Active NPI Personal Care Attendant · Salem, WV

NPI 1992301964 · NPPES record last updated Dec 7, 2020

Key facts

NPI
1992301964
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
4246 Buffalo Creek Rd
Salem, WV 26426-8136
Phone
(304) 291-9066
NPI assigned
Dec 7, 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

4246 Buffalo Creek Rd
Salem, WV 26426-8136

Mailing address

4246 Buffalo Creek Rd
Salem, WV 26426-8136
Phone (304) 291-9066

Other providers in Salem, WV

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

Sources for this page

Verify at the official NPI Registry.