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NPI Code Detail

MEDICARE: ANNAJILL VANDYKE

MEDICARE: ANNAJILL VANDYKE
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 : 1851236285
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNAJILL VANDYKE
Provider Business Mailing Address
First Line : 3 HAYLEIGH ST
Second Line :
City : MILTON
State : WV
Zip : 25541-9114
Country : US
Telephone Number : 740-285-9585
Fax Number :
Provider Business Practice Location Address
First Line : 3 HAYLEIGH ST
Second Line :
City : MILTON
State : WV
Zip : 25541-9114
Country : US
Telephone Number : 740-285-9585
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2026
Last Update Date : 04/22/2026

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Directions to “ ANNAJILL VANDYKE ” Practice Location

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