Individual provider · Type 1 NPI

Icy Leeann Rose

Personal Care Attendant · Cyclone, WV

NPI number 1669387841 Active

Practice location

275 Paynters Branch Campus Road
Cyclone, WV 24827

Call (304) 719-8104 Map

Mailing address

PO Box 363
Cyclone, WV 24827-0363

Specialties and licenses

Taxonomy	Code	License
Personal Care Attendant Primary	3747P1801X	None listed

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 1669387841

Icy Leeann Rose's National Provider Identifier is 1669387841, issued on Aug 14, 2026. The primary taxonomy on file is Personal Care Attendant (3747P1801X), and the practice location is in Cyclone, WV. The record was last updated on Aug 14, 2026.