Individual
ETHEL RAINEY EASTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5644 BOYDTON PLANK RD, BRODNAX, VA 23920-2156
(434) 774-4561
Mailing address
5644 BOYDTON PLANK RD, BRODNAX, VA 23920-2156
(434) 774-4561
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
03/18/2022
Last updated
03/18/2022
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