MEDICARE: MARY TUCKER

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
1	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1114537180
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY TUCKER

Provider Business Mailing Address
First Line	:	361 RIFFES BR
Second Line	:
City	:	RHODELL
State	:	WV
Zip	:	25915-9102
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	361 RIFFES BR
Second Line	:
City	:	RHODELL
State	:	WV
Zip	:	25915-9102
Country	:	US
Telephone Number	:	304-252-3394
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/05/2020
Last Update Date	:	06/30/2021

Similar Medicare Providers

1326658394 — PAULETTE TUCKER
Practice Location Address:

361 RIFFES BR
RHODELL, WV
25915-9102

Practice Phone: 304-252-3394
Practice Fax:

1609957943 — RHODELL HEALTH SERVICES INC
Practice Location Address:

7312 COAL CITY ROAD
RHODELL, WV
25915-0158

Practice Phone: 304-683-4318
Practice Fax: 304-683-4791

1730885583 — TIFFINIE BLAYLOCK
Practice Location Address:

238 RIFFES BR
RHODELL, WV
25915-9101

Practice Phone: 304-683-4828
Practice Fax:

1932953437 — BRITTANY SUE HOGAN
Practice Location Address:

7286 COAL CITY ROAD
RHODELL, WV
25915

Practice Phone: 304-683-4453
Practice Fax:

1154204014 — AMANDA HOGAN
Practice Location Address:

7286 COAL CITY RD
RHODELL, WV
25915

Practice Phone: 304-575-8082
Practice Fax:

1679176879 — ERIN KAMITS
Practice Location Address:

254 GEORGE ST
BECKLEY, WV
25801-2641

Practice Phone: 304-255-0620
Practice Fax:

Directions to “ MARY TUCKER ” Practice Location

Language	Start Address	Practice Location

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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.