Edward Wine
Home Health Aide in Flatwoods, WV. Individual provider (NPI-1).
NPI number1104748698
StatusActive
Last updated in NPPESJul 28, 2026
Details
- NPI
- 1104748698
- Entity type
- Individual (NPI-1)
- Name
- Edward Wine
- Sole proprietor
- Yes
- Enumeration date
- Jul 28, 2026
- Certification date
- Jul 28, 2026
- Last updated
- Jul 28, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | – | – | Yes |
Practice location
30 Railroad StFlatwoods, WV 26621-2101
Phone 304-701-8627
Mailing address
89 Ross Run RdFlatwoods, WV 26621-8169
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