Individual
KELLY MARCELLUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
23 VALLEY GROVE RD, VALLEY GROVE, WV 26060-7939
(304) 280-4153
Mailing address
23 VALLEY GROVE RD, VALLEY GROVE, WV 26060-7939
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/24/2025
Last updated
06/24/2025
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