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NPI Code Detail

MEDICARE: MICHELLE RAYNAE CASELLA

MEDICARE:   MICHELLE RAYNAE CASELLA
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
1374U00000XHome Health Aide

General Provider Information

NPI Number : 1184417511
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE RAYNAE CASELLA
Provider Business Mailing Address
First Line : 27 SCOTCH PINE DR
Second Line :
City : BUNKER HILL
State : WV
Zip : 25413-2106
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 27 SCOTCH PINE DR
Second Line :
City : BUNKER HILL
State : WV
Zip : 25413-2106
Country : US
Telephone Number : 304-517-8880
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2025
Last Update Date : 05/28/2025

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Directions to “ MICHELLE RAYNAE CASELLA ” Practice Location

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