KURT LONG

MOUNT NEBO, WV
NPI1730945155
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2024-02-23
Last Update Date2024-02-23
Business Address
KURT LONG
785 SUMMERSVILLE LAKE RD
MOUNT NEBO, WV 26679-9203
Phone number: 304-883-2334
Mailing Address
KURT LONG
PO BOX 569
MOUNT NEBO, WV 26679-0569
Phone number: 304-883-2334