Individual
JOHNNIE LEE ORR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
71320 CHURCH ST, SAINT CLAIRSVILLE, OH 43950-8659
(304) 215-6513
Mailing address
71320 CHURCH ST, SAINT CLAIRSVILLE, OH 43950-8659
(304) 215-6513
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125553494
—
WV
05
—
1356607394
—
WV
05
—
1821206228
—
WV
Enumeration date
03/05/2024
Last updated
03/05/2024
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