Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY SHAWN EDRA HADDOX
Active Sole ProprietorMARY SHAWN EDRA HADDOX is a In Home Supportive Care Agency healthcare provider located in SAINT MARYS, West Virginia. NPI 1629874821 is currently active in the NPPES registry. Verify at CMS.
In Home Supportive Care Agency · SAINT MARYS, WV
Registration Details
- NPI Number
- 1629874821
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 20, 2025 (1.5144221025948 yrs)
- Last Updated
- Feb 20, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
39 HADDOX HILL RDSAINT MARYS, WV, 261701271Browse WV providers · Browse ZIP 26170
- Phone
- 3042991452
- Primary Specialty
-
In Home Supportive Care Agency
253Z00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.