Provider Demographics
NPI:1992596647
Name:RIGGLEMAN, GEORGETTE
Entity type:Individual
Prefix:
First Name:GEORGETTE
Middle Name:
Last Name:RIGGLEMAN
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 1:130 COPPERHEAD RD
Mailing Address - Street 2:
Mailing Address - City:RIG
Mailing Address - State:WV
Mailing Address - Zip Code:26836-9048
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:130 COPPERHEAD RD
Practice Address - Street 2:
Practice Address - City:RIG
Practice Address - State:WV
Practice Address - Zip Code:26836-9048
Practice Address - Country:US
Practice Address - Phone:304-434-4111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-13
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide