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NPI Code Detail

MEDICARE: ELLA SLATER

MEDICARE: ELLA SLATER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13747P1801XPersonal Care Attendant

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1003411125
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELLA SLATER
Provider Business Mailing Address
First Line : 1710 PENNSYLVANIA AVE
Second Line :
City : CHARLESTON
State : WV
Zip : 25302-3934
Country : US
Telephone Number : 304-348-0707
Fax Number : 304-344-3546
Provider Business Practice Location Address
First Line : 1710 PENNSYLVANIA AVE
Second Line :
City : CHARLESTON
State : WV
Zip : 25302-3934
Country : US
Telephone Number : 304-348-0707
Fax Number : 304-344-3546
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2020
Last Update Date : 12/07/2020

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Directions to “ ELLA SLATER ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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