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NPI Code Detail

MEDICARE: MONTANA ARMENTROUT

MEDICARE: MONTANA ARMENTROUT
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 Attendant

General Provider Information

NPI Number : 1548861396
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONTANA ARMENTROUT
Provider Business Mailing Address
First Line : 207 WINDY MOUNTAIN RD
Second Line : BOX 53
City : WHITMER
State : WV
Zip : 26296
Country : US
Telephone Number : 304-704-6897
Fax Number :
Provider Business Practice Location Address
First Line : 1408 HARRISON AVE
Second Line :
City : ELKINS
State : WV
Zip : 26241-3325
Country : US
Telephone Number : 304-636-4390
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2020
Last Update Date : 11/06/2020

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Directions to “ MONTANA ARMENTROUT ” Practice Location

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