Provider Demographics
NPI:1003705450
Name:WEEKLEY, HELEN REBA
Entity type:Individual
Prefix:
First Name:HELEN
Middle Name:REBA
Last Name:WEEKLEY
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 MILESTONE RD
Mailing Address - Street 2:
Mailing Address - City:RIVESVILLE
Mailing Address - State:WV
Mailing Address - Zip Code:26588-8037
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:21 MILESTONE RD
Practice Address - Street 2:
Practice Address - City:RIVESVILLE
Practice Address - State:WV
Practice Address - Zip Code:26588-8037
Practice Address - Country:US
Practice Address - Phone:681-332-8528
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-01
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide