MEDICARE: PAULINE ALIFF

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		WV

General Provider Information

NPI Number	:	1114539848
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAULINE ALIFF

Provider Business Mailing Address
First Line	:	3609 HUGHES ST
Second Line	:
City	:	HUNTINGTON
State	:	WV
Zip	:	25704-1952
Country	:	US
Telephone Number	:	304-429-0070
Fax Number	:

Provider Business Practice Location Address
First Line	:	50 BLACKBERRY LN
Second Line	:
City	:	WAYNE
State	:	WV
Zip	:	25570-6543
Country	:	US
Telephone Number	:	304-360-3967
Fax Number	:

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

Provider Enumeration Date	:	08/24/2020
Last Update Date	:	08/24/2020

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Directions to “ PAULINE ALIFF ” Practice Location

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