Healthcare Provider Details
I. General information
NPI: 1174121974
Provider Name (Legal Business Name): VICTORIA HUFF
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/14/2020
Last Update Date: 10/14/2020
Certification Date: 10/14/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
726 RIVERVIEW DR
BELMONT WV
26134-9719
US
IV. Provider business mailing address
726 RIVERVIEW DR
BELMONT WV
26134-9719
US
V. Phone/Fax
- Phone: 304-665-1450
- Fax:
- Phone: 304-665-1450
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3747P1801X |
| Taxonomy | Personal Care Attendant |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: