Provider Demographics
NPI:1285491597
Name:SWICK, ANGELEAH
Entity type:Individual
Prefix:
First Name:ANGELEAH
Middle Name:
Last Name:SWICK
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 1:7770 S BRANCH RIVER RD
Mailing Address - Street 2:
Mailing Address - City:ROMNEY
Mailing Address - State:WV
Mailing Address - Zip Code:26757-7518
Mailing Address - Country:US
Mailing Address - Phone:304-568-3049
Mailing Address - Fax:
Practice Address - Street 1:7770 S BRANCH RIVER RD
Practice Address - Street 2:
Practice Address - City:ROMNEY
Practice Address - State:WV
Practice Address - Zip Code:26757-7518
Practice Address - Country:US
Practice Address - Phone:304-568-3049
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-04
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant