Healthcare Provider Details

I. General information

NPI: 1700792561
Provider Name (Legal Business Name): MELINDA DALE WARD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 SAWMILL ROAD
SPRINGDALE WV
25986
US

IV. Provider business mailing address

PO BOX 84
SPRING DALE WV
25986-0084
US

V. Phone/Fax

Practice location:
  • Phone: 304-667-4496
  • Fax:
Mailing address:
  • Phone: 304-667-4496
  • 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: