Healthcare Provider Details

I. General information

NPI: 1295463172
Provider Name (Legal Business Name): AARON ARMSTRONG
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2022
Last Update Date: 08/10/2022
Certification Date: 08/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27300 MIDLAND TRL
HICO WV
25854-6204
US

IV. Provider business mailing address

PO BOX 73
HICO WV
25854-0073
US

V. Phone/Fax

Practice location:
  • Phone: 307-719-7318
  • Fax:
Mailing address:
  • Phone: 304-719-7318
  • 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: