Healthcare Provider Details

I. General information

NPI: 1013833706
Provider Name (Legal Business Name): DESHAWNA PAIGE MCCLUNG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

554 HENSON RD
CRAWLEY WV
24931-7154
US

IV. Provider business mailing address

554 HENSON RD
CRAWLEY WV
24931-7154
US

V. Phone/Fax

Practice location:
  • Phone: 304-646-0296
  • Fax:
Mailing address:
  • Phone: 304-646-0296
  • 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: