Individual
JAMES BEVERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
208 CAMP RUN RD, WALLACE, WV 26448-8558
(304) 669-4032
Mailing address
208 CAMP RUN RD, WALLACE, WV 26448-8558
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/05/2025
Last updated
08/05/2025
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