Individual provider · Type 1 NPI

Haley Lynn Pethtel

Personal Care Attendant · Vienna, WV

NPI number 1104757004 Active

Practice location

1100 9th St Ste D
Vienna, WV 26105-2176

Call (304) 428-6148 Map

Mailing address

114 Rosemar Ter Apt 208
Parkersburg, WV 26105-8307

Specialties and licenses

TaxonomyCodeLicense
Personal Care Attendant Primary 3747P1801XG287810 (WV)

Personal Care Attendant: An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards

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About NPI 1104757004

Haley Lynn Pethtel's National Provider Identifier is 1104757004, issued on May 28, 2026. The primary taxonomy on file is Personal Care Attendant (3747P1801X), and the practice location is in Vienna, WV. The record was last updated on May 28, 2026.