Healthcare Provider Details

I. General information

NPI: 1164187944
Provider Name (Legal Business Name): CHERYL MELHUISH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/05/2021
Last Update Date: 11/16/2021
Certification Date: 11/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3901 BRISCOE RUN RD
PARKERSBURG WV
26104-0002
US

IV. Provider business mailing address

3901 BRISCOE RUN RD
PARKERSBURG WV
26104-0002
US

V. Phone/Fax

Practice location:
  • Phone: 304-422-0776
  • Fax:
Mailing address:
  • Phone: 304-422-0776
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code374700000X
TaxonomyTechnician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: