Provider Demographics
NPI:1316534100
Name:RICHMAN, MELODY HOPE
Entity Type:Individual
Prefix:
First Name:MELODY
Middle Name:HOPE
Last Name:RICHMAN
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 1:271 PLEASANT VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:REEDSVILLE
Mailing Address - State:WV
Mailing Address - Zip Code:26547-7305
Mailing Address - Country:US
Mailing Address - Phone:304-290-5063
Mailing Address - Fax:
Practice Address - Street 1:271 PLEASANT VALLEY DR
Practice Address - Street 2:
Practice Address - City:REEDSVILLE
Practice Address - State:WV
Practice Address - Zip Code:26547-7305
Practice Address - Country:US
Practice Address - Phone:304-290-5063
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-28
Last Update Date:2020-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant