MRS. GRACE WALLACE PCA
NPI 1154836401
Technician - Personal Care Attendant in Fort Gay, WV

Q: What is Grace Wallace's NPI number?

The NPI number for Grace Wallace is 1154836401. It was assigned to this individual provider in the NPPES registry on December 8, 2017. The provider is also known as Mrs. Grace Miller.

Q: What is Grace Wallace's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

Q: When was this NPI record last updated?

The NPPES record for Grace Wallace was last updated on December 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 08, 2017

711 GREENBRIER CREEK ROAD, FORT GAY, WV 25514(304) 356-4562 Get Directions Write a Review

NPPES record last updated: December 8, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Mrs. Grace Wallace Pca NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. GRACE WALLACE PCA (NPI 1154836401) is an individual personal care attendant in Fort Gay, West Virginia and active in the NPI registry since December 2017.

NPPES Registry Identity

NPI1154836401

Entity TypeIndividualFemale

Primary Taxonomy3747P1801X

Provider Legal NameMRS. GRACE WALLACECredential: PCA

Location Address711 GREENBRIER CREEK ROADFort Gay, WV 25514

Mailing Address711 Greenbrier Creek RoadFort Gay, WV 25514 · (304) 356-4562 · Fax (304) 558-4563

Phone(304) 356-4562

Sole ProprietorNo

Enumeration DateDecember 8, 2017

✔ NPI 1154836401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers

Taxonomy Code3747P1801X

Definition

An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards

711 GREENBRIER CREEK ROAD, Fort Gay, WV 25514

Open in Google Maps ↗

Other Names 1

Other Name (5)Mrs. Grace Miller

Other Identifiers 1

Other3810006088Provider Id

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grace Wallace's NPI number?

The NPI number for Grace Wallace is 1154836401. It was assigned to this individual provider in the NPPES registry on December 8, 2017. The provider is also known as Mrs. Grace Miller.

Where is Grace Wallace located?

Grace Wallace practices at 711 Greenbrier Creek Road, Fort Gay, WV 25514. The listed phone number is (304) 356-4562.

What is Grace Wallace's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Grace Wallace was last updated on December 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.