Individual
JORDAN BOSTIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1868 DECOTA RD, ESKDALE, WV 25075-9788
(304) 747-8818
Mailing address
1868 DECOTA RD, ESKDALE, WV 25075-9788
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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