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Deborah Jean Wilson

Technician, Personal Care Attendant in Moundsville, WV. Individual provider (NPI-1).

NPI number1760078596
StatusActive
Last updated in NPPESDec 16, 2020

Details

NPI
1760078596
Entity type
Individual (NPI-1)
Name
Deborah Jean Wilson
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 16, 2020
Certification date
Dec 16, 2020
Last updated
Dec 16, 2020

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3747P1801X Technician, Personal Care Attendant––Yes

Practice location

423 Annadale Ave
Moundsville, WV 26041-2042

Phone 304-238-4734

Mailing address

178 Fork Ridge Rd
Moundsville, WV 26041-3137

Phone 304-843-1111

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Personal Care Attendant providers in Moundsville, WV

All 391 Personal Care Attendant providers in Moundsville · All 636 providers in Moundsville

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