Individual
NELLIE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
451 INGRAM BRANCH RD, KINCAID, WV 25119
(304) 465-8060
Mailing address
PO BOX 68, KINCAID, WV 25119-0068
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/11/2025
Last updated
07/11/2025
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