MONTANA GREEN

CLAY, WV
NPI1609465988
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2021-01-12
Last Update Date2021-01-12
Business Address
MONTANA GREEN
172 MAIN STREET
CLAY, WV 25043
Phone number: 304-587-4251
Mailing Address
MONTANA GREEN
PO BOX 655
CLAY, WV 25043-0655
Phone number:
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