Healthcare Provider Details

I. General information

NPI: 1306772470
Provider Name (Legal Business Name): TRUDI CAYLOR
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

217 POSTING WAY
CHARLES TOWN WV
25414-9323
US

IV. Provider business mailing address

217 POSTING WAY
CHARLES TOWN WV
25414-9323
US

V. Phone/Fax

Practice location:
  • Phone: 304-886-0524
  • Fax:
Mailing address:
  • Phone: 304-886-0524
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: