Provider Demographics
NPI:1194319442
Name:PAULEY, DREAMA KAYE
Entity type:Individual
Prefix:
First Name:DREAMA
Middle Name:KAYE
Last Name:PAULEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:149 GLADE ST
Mailing Address - Street 2:
Mailing Address - City:SHADY SPRING
Mailing Address - State:WV
Mailing Address - Zip Code:25918-9501
Mailing Address - Country:US
Mailing Address - Phone:304-575-8747
Mailing Address - Fax:
Practice Address - Street 1:115 HANNAH ST
Practice Address - Street 2:
Practice Address - City:SHADY SPRING
Practice Address - State:WV
Practice Address - Zip Code:25918-8450
Practice Address - Country:US
Practice Address - Phone:304-575-8747
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-26
Last Update Date:2021-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant