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NPI Code Detail

MEDICARE: HYDIAH WHITE

MEDICARE: HYDIAH WHITE
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 : 1487314613
Entity Type Code : Individual
Provider Name (Legal Business Name) : HYDIAH WHITE
Provider Business Mailing Address
First Line : 200 ASSOCIATION DR STE 130
Second Line :
City : CHARLESTON
State : WV
Zip : 25311-1277
Country : US
Telephone Number : 304-988-4200
Fax Number :
Provider Business Practice Location Address
First Line : 200 ASSOCIATION DR STE 130
Second Line :
City : CHARLESTON
State : WV
Zip : 25311-1277
Country : US
Telephone Number : 304-988-4200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2021
Last Update Date : 12/15/2025

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Directions to “ HYDIAH WHITE ” 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.

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