Individual
LACI PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
962 DUTCH HOLLOW RD, DUNBAR, WV 25064-1173
(304) 533-4918
Mailing address
962 DUTCH HOLLOW RD, DUNBAR, WV 25064-1173
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/28/2025
Last updated
06/28/2025
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