Individual
ELIZABETH MONGOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
1792 DEEP SPRING RD, PETERSBURG, WV 26847-8657
(304) 257-2381
Mailing address
1792 DEEP SPRING RD, PETERSBURG, WV 26847-8657
(304) 257-2381
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
03/02/2026
Last updated
03/02/2026
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