Individual
LAURA ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
227 BYRD MOUNTAIN ESTATE ROAD, PINEVILLE, WV 24874
(304) 732-9360
Mailing address
PO BOX 473, PINEVILLE, WV 24874-0473
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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