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NPI Code Detail

MEDICARE: RITA ELAINE WALKER

MEDICARE:   RITA ELAINE WALKER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1336742550
Entity Type Code : Individual
Provider Name (Legal Business Name) : RITA ELAINE WALKER
Provider Business Mailing Address
First Line : 7 MOUNTAIN VIEW ST
Second Line :
City : PETERSBURG
State : WV
Zip : 26847-1796
Country : US
Telephone Number : 304-257-1155
Fax Number : 304-257-1945
Provider Business Practice Location Address
First Line : 535 OLD FIELDS RD
Second Line :
City : OLD FIELDS
State : WV
Zip : 26845-8670
Country : US
Telephone Number : 304-257-3108
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/19/2020
Last Update Date : 11/19/2020

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Directions to “ RITA ELAINE WALKER ” Practice Location

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