GLENN DALE

ELKINS, WV
NPI1982311692
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2022-11-02
Last Update Date2022-11-02
Business Address
GLENN DALE
2 ASHLYNN DR
ELKINS, WV 26241-1017
Phone number: 304-516-2262
Mailing Address
GLENN DALE
501 WILSON LN
ELKINS, WV 26241-5216
Phone number: 304-636-9326