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NPI Code Detail

MEDICARE: VICTORIA GRACE SMITH

MEDICARE: VICTORIA GRACE SMITH
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 AttendantWV

General Provider Information

NPI Number : 1043173529
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTORIA GRACE SMITH
Provider Business Mailing Address
First Line : 52 TRAP SPRINGS RD
Second Line :
City : GRAFTON
State : WV
Zip : 26354-7711
Country : US
Telephone Number : 304-265-4555
Fax Number : 304-265-6083
Provider Business Practice Location Address
First Line : 52 TRAP SPRINGS RD
Second Line :
City : GRAFTON
State : WV
Zip : 26354-7711
Country : US
Telephone Number : 304-265-4555
Fax Number : 304-265-6083
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/03/2025
Last Update Date : 12/03/2025

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Directions to “ VICTORIA GRACE SMITH ” 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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