Individual
DOROTHY LUANNE GRAVELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1323 BLACKBIRD RD, SOUTH SHORE, KY 41175-7018
(606) 923-2873
Mailing address
1323 BLACKBIRD RD, SOUTH SHORE, KY 41175-7018
(606) 923-2873
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
Primary
400367260604
OH
Other
Enumeration date
04/15/2021
Last updated
10/15/2025
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