Healthcare Provider Details

I. General information

NPI: 1710684303
Provider Name (Legal Business Name): MICHAELA BELL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/14/2023
Last Update Date: 02/14/2023
Certification Date: 02/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

762 PETERS RUN RD
WHEELING WV
26003-7815
US

IV. Provider business mailing address

1914 WAYNESBURG PIKE RD
MOUNDSVILLE WV
26041-5202
US

V. Phone/Fax

Practice location:
  • Phone: 304-905-8346
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: