Individual
ERIC VACOVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
134 S ELM ST, MOOREFIELD, WV 26836-1257
(304) 490-9246
Mailing address
134 S ELM ST, MOOREFIELD, WV 26836-1257
(304) 490-9246
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
08/29/2022
Last updated
08/29/2022
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