Individual provider · Type 1 NPI

Amanda Wickline

Homemaker · Charleston, WV

NPI number 1750169165 Active

Practice location

4510 Pennsylvania Ave Ste C
Charleston, WV 25302-4835

Call (304) 965-9081 Map

Fax (304) 471-2488

Mailing address

4175 Rich Fork Rd
Charleston, WV 25312-7259

Specialties and licenses

TaxonomyCodeLicense
Homemaker Primary 376J00000XNone listed

Homemaker: An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.

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About NPI 1750169165

Amanda Wickline's National Provider Identifier is 1750169165, issued on Sep 18, 2023. The primary taxonomy on file is Homemaker (376J00000X), and the practice location is in Charleston, WV. The record was last updated on Sep 18, 2023.