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

Tillie Joy Lively

Individual provider Personal Care Attendant · NPI 1194520429

Tillie Joy Lively is a Personal Care Attendant in Ronceverte, West Virginia. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

205 Fairlea Plaza Dr
Ronceverte, WV 24970-9587
Phone: (304) 956-0248
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 number1194520429
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 19, 2025
Last updated in NPPESFebruary 19, 2025
Certification dateFebruary 19, 2025
Mailing address205 Fairlea Plaza Dr, Ronceverte, WV 24970-9587

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