OrganizationActive
In Home Care
NPI 1205855640 · Personal Care Attendant · Wise, VA
Provider details
- NPI number
- 1205855640
- Entity type
- Organization
- Primary specialty
- Personal Care AttendantNursing Service Related Providers
- Organization subpart
- No
- Authorized official
- Yvonne Whitaker, Secretary Corp(276) 329-9340
Specialties & taxonomies
Nursing Service Related Providers
- Case Manager/Care Coordinator171M00000X
Other Service Providers
- Nursing Care Agency251J00000X
Agencies
- Respite Care385H00000X
Respite Care Facility
Practice location
201 Nottingham Ave
Wise, VA 24293-5612
Phone: (276) 329-9340
Approximate (ZIP-level) locationGet directions
Mailing address
201 Nottingham Ave
Wise, VA 24293-5612
Registry dates
- Enumerated
- 2006-07-18
- Last updated
- 2018-02-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.