Ellie Licon
Ellie Licon is a Personal Care Attendant in Harts, West Virginia. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
823 Hoover Fork RdHarts, WV 25524-5453
Phone: (304) 855-9358
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Personal Care Attendant (primary) | Taxonomy 3747P1801X |
|---|
Record details
| NPI number | 1689271884 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 1, 2020 |
| Last updated in NPPES | October 1, 2020 |
| Certification date | October 1, 2020 |
| Mailing address | 823 Hoover Fork Rd, Harts, WV 25524-5453 |
Other providers in Harts
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Donald Hager
823 Hoover Fork Rd, Harts, WV 25524-5453 · (304) 855-9358
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Darra Sue Hall
59 Barnwood Dr, Harts, WV 25524-5429 · (304) 601-9750
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Kaitlyn Marie Keyser
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Laura Erica Lambert
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MS. Dollie Lowe, PCA
1170 Frances Creek Rd, Harts, WV 25524 · (304) 855-9812
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Tonya Sue Manns
54 Lumber Yard Dr, Harts, WV 25524-9730 · (304) 733-1094
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Miranda Martin
1496 McCellan Hwy, Harts, WV 25557 · (681) 278-1781
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Christopher Shane Maynard
168 Little Harts Crk, Harts, WV 25524-8022 · (304) 733-1094