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Austin David Stacy

Home Health Aide in Ashford, WV. Individual provider (NPI-1).

NPI number1104764638
StatusActive
Last updated in NPPESMar 24, 2026

Details

NPI
1104764638
Entity type
Individual (NPI-1)
Name
Austin David Stacy
Sex
Male
Sole proprietor
No
Enumeration date
Mar 24, 2026
Certification date
Mar 24, 2026
Last updated
Mar 24, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
374U00000X Home Health Aide–WVYes

Practice location

42 Parrish Ln
Ashford, WV 25009-9091

Phone 304-836-5505 · Fax 304-836-5505

Mailing address

42 Parrish Ln
Ashford, WV 25009-9091

Phone 304-836-5505 · Fax 304-836-5505

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