Individual
LISA LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4077 FAIRMONT RD, MORGANTOWN, WV 26501-9764
(304) 657-4607
Mailing address
4077 FAIRMONT RD, MORGANTOWN, WV 26501-9764
(304) 657-4607
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/25/2025
Last updated
12/30/2025
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