Individual
DONNA RENEE LIVELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
18 WINGROVE HL, SCARBRO, WV 25917-8852
(304) 860-8780
Mailing address
18 WINGROVE HL, SCARBRO, WV 25917-8852
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/23/2025
Last updated
06/23/2025
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