Elizabeth Danielle Pack
Technician, Personal Care Attendant in Logan, WV. Individual provider (NPI-1).
NPI number1336741016
StatusActive
Last updated in NPPESNov 9, 2020
Details
- NPI
- 1336741016
- Entity type
- Individual (NPI-1)
- Name
- Elizabeth Danielle Pack
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 9, 2020
- Certification date
- Nov 9, 2020
- Last updated
- Nov 9, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
5577 Old Logan RdLogan, WV 25601-3346
Phone 304-896-2371
Mailing address
5577 Old Logan RdLogan, WV 25601-3346
Phone 304-896-2371
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All 120 Personal Care Attendant providers in Logan · All 640 providers in Logan
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