Healthcare Provider Details

I. General information

NPI: 1215546296
Provider Name (Legal Business Name): GLORIA JEAN TUSING
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2020
Last Update Date: 07/27/2020
Certification Date: 07/27/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1263 WHITMAN RUN RD
BELINGTON WV
26250-7846
US

IV. Provider business mailing address

2180 S TETER CREEK RD
MONTROSE WV
26283-9789
US

V. Phone/Fax

Practice location:
  • Phone: 304-457-1187
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: