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

Wallie F Cantrell Jr.

Individual provider Personal Care Attendant · NPI 1609481902

Wallie F Cantrell Jr. is a Personal Care Attendant in Coal City, West Virginia. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

113 Clark St
Coal City, WV 25823
Phone: (681) 207-6182
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 number1609481902
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 14, 2020
Last updated in NPPESSeptember 14, 2020
Certification dateSeptember 11, 2020

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