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Udodirim Ejimofor

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

NPI number1154047660
StatusActive
Last updated in NPPESOct 17, 2022

Details

NPI
1154047660
Entity type
Individual (NPI-1)
Name
Udodirim Ejimofor
Sex
Male
Sole proprietor
No
Enumeration date
Oct 17, 2022
Certification date
Oct 17, 2022
Last updated
Oct 17, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
374U00000X Home Health Aide7223WVYes
374U00000X Home Health Aide––

Practice location

1111 Van Voorhis Rd Ste 2
Morgantown, WV 26505-2737

Phone 304-598-8900

Mailing address

1111 Van Voorhis Rd Ste 2
Morgantown, WV 26505-2737

Phone 304-598-8900

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