Individual
ELAINE ALICE BEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
624 VALLEY AVE, RAINELLE, WV 25962-0305
(304) 438-6433
Mailing address
641 VALLEY AVE, RAINELLE, WV 25962-1463
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
02/20/2025
Last updated
02/20/2025
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