Individual
CLYDE HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5235 BEAGLE CLUB RD, FRAZIERS BOTTOM, WV 25082-9575
(681) 424-6859
Mailing address
5235 BEAGLE CLUB RD, FRAZIERS BOTTOM, WV 25082-9575
(681) 424-6859
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/08/2025
Last updated
09/08/2025
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