Individual
LACIEY CAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12 CAMELOT MOBILE HOME PARK, FAIRMONT, WV 26554-1774
(615) 403-6325
Mailing address
12 CAMELOT MOBILE HOME PARK, FAIRMONT, WV 26554-1774
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/03/2025
Last updated
04/03/2025
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