Individual
CARROLL VANWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
538 LONG RUN RD, WAVERLY, WV 26184-3306
(304) 481-3939
Mailing address
538 LONG RUN RD, WAVERLY, WV 26184-3306
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/12/2025
Last updated
06/12/2025
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