Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Samuel Glen Harrison II

Individual provider Personal Care Attendant · NPI 1003428426

Samuel Glen Harrison II is a Personal Care Attendant in Gandeeville, West Virginia. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

1034 Cicerone Rd
Gandeeville, WV 25243-8664
Phone: (304) 577-9145
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Personal Care Attendant (primary) Taxonomy 3747P1801X

Record details

NPI number1003428426
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 18, 2020
Last updated in NPPESAugust 18, 2020
Certification dateAugust 18, 2020

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