Healthcare Provider Details

I. General information

NPI: 1679417596
Provider Name (Legal Business Name): JULIE DOBBS
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/20/2026
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

731 LITTLE GRAVE CREEK DR
GLEN DALE WV
26038-1248
US

IV. Provider business mailing address

PO BOX 181
GLEN DALE WV
26038-0181
US

V. Phone/Fax

Practice location:
  • Phone: 304-650-2284
  • Fax:
Mailing address:
  • Phone:
  • 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: