Individual
HEAVEN GRADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
264 COUNTERFEIT WAY, BUNKER HILL, WV 25413-2686
(540) 431-0523
Mailing address
264 COUNTERFEIT WAY, BUNKER HILL, WV 25413-2686
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/19/2025
Last updated
05/19/2025
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