Amanda Lilly
Technician, Personal Care Attendant in Wayside, WV. Individual provider (NPI-1).
NPI number1457066367
StatusActive
Last updated in NPPESJan 16, 2023
Details
- NPI
- 1457066367
- Entity type
- Individual (NPI-1)
- Name
- Amanda Lilly
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 16, 2023
- Certification date
- Jan 16, 2023
- Last updated
- Jan 16, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
9 Fox LnWayside, WV 24985-9313
Phone 304-660-8705
Mailing address
9 Fox LnWayside, WV 24985-9313
Phone 304-660-8705
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