Healthcare Provider Details

I. General information

NPI: 1497342182
Provider Name (Legal Business Name): MARIAH ARANT BSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/29/2020
Last Update Date: 12/29/2020
Certification Date: 12/29/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 BLUE ST
ROMNEY WV
26757-1351
US

IV. Provider business mailing address

PO BOX 104
ROMNEY WV
26757-0104
US

V. Phone/Fax

Practice location:
  • Phone: 304-822-3861
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: