Provider Demographics
NPI:1902648165
Name:SAVORS, THERESA ANN
Entity type:Individual
Prefix:MRS
First Name:THERESA
Middle Name:ANN
Last Name:SAVORS
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:PO BOX 255
Mailing Address - Street 2:
Mailing Address - City:FAIRVIEW
Mailing Address - State:WV
Mailing Address - Zip Code:26570-0255
Mailing Address - Country:US
Mailing Address - Phone:304-612-4894
Mailing Address - Fax:
Practice Address - Street 1:304 GARRETT AVE
Practice Address - Street 2:
Practice Address - City:FAIRMONT
Practice Address - State:WV
Practice Address - Zip Code:26554-3215
Practice Address - Country:US
Practice Address - Phone:304-816-9920
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-10
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide