MEDICARE: ROBIN CROUCH

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	:	1598623928
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBIN CROUCH

Provider Business Mailing Address
First Line	:	254 GEORGE ST
Second Line	:
City	:	BECKLEY
State	:	WV
Zip	:	25801-2641
Country	:	US
Telephone Number	:	304-255-0620
Fax Number	:	304-255-0620

Provider Business Practice Location Address
First Line	:	254 GEORGE ST
Second Line	:
City	:	BECKLEY
State	:	WV
Zip	:	25801-2641
Country	:	US
Telephone Number	:	304-255-0620
Fax Number	:	304-255-0620

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

Provider Enumeration Date	:	01/14/2026
Last Update Date	:	01/14/2026

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Directions to “ ROBIN CROUCH ” Practice Location

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