Phyllis King
Home Health Aide in Charleston, WV. Individual provider (NPI-1).
NPI number1629965652
StatusActive
Last updated in NPPESJun 23, 2025
Details
- NPI
- 1629965652
- Entity type
- Individual (NPI-1)
- Name
- Phyllis King
- Sole proprietor
- Yes
- Enumeration date
- Jun 23, 2025
- Certification date
- Jun 22, 2025
- Last updated
- Jun 23, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | – | – | Yes |
Practice location
1850 Mount Alpha RdCharleston, WV 25304-2735
Phone 304-389-7942
Mailing address
1850 Mount Alpha RdCharleston, WV 25304-2735
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All 236 Home Health Aide providers in Charleston · All 9,831 providers in Charleston
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