BETTY JEANELLAN GREEN

ELIZABETH, WV
NPI1366057978
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy376J00000X Homemaker
Additional Taxonomies3747P1801X Technician, Personal Care Attendant
Enumeration Date2020-09-10
Last Update Date2023-07-10
Business Address
BETTY JEANELLAN GREEN
74 SENIOR CIR
ELIZABETH, WV 26143-5711
Phone number: 304-275-3158
Mailing Address
BETTY JEANELLAN GREEN
PO BOX 370
ELIZABETH, WV 26143-0370
Phone number: 304-275-3158