Heather Brown

Individual provider Active NPI Home Health Aide · Wallace, WV

NPI 1992532154 · NPPES record last updated Sep 19, 2024

Key facts

NPI
1992532154
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Aide 374U00000X
Practice address
2250 Little Elk Rd
Wallace, WV 26448-8611
Phone
(304) 629-1309
NPI assigned
Sep 19, 2024
Sex
Female
Sole proprietor
Yes

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
Home Health Aide 374U00000X Yes

Addresses

Primary practice location

2250 Little Elk Rd
Wallace, WV 26448-8611

Mailing address

2250 Little Elk Rd
Wallace, WV 26448-8611

Other providers in Wallace, WV

All providers in Wallace, WV · Home Health Aide in West Virginia

Sources for this page

Verify at the official NPI Registry.