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NPI Code Detail

MEDICARE: CASSAUNDRA SKEENS

MEDICARE:   CASSAUNDRA  SKEENS
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
1374U00000XHome Health Aide

General Provider Information

NPI Number : 1396635124
Entity Type Code : Individual
Provider Name (Legal Business Name) : CASSAUNDRA SKEENS
Provider Business Mailing Address
First Line : 5 ESSENTIAL LN
Second Line :
City : WEST HAMLIN
State : WV
Zip : 25571-8043
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5 ESSENTIAL LN
Second Line :
City : WEST HAMLIN
State : WV
Zip : 25571-8043
Country : US
Telephone Number : 304-972-1633
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2025
Last Update Date : 07/03/2025

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Directions to “ CASSAUNDRA SKEENS ” Practice Location

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