Alex Hicks
In Home Supportive Care in Saint Albans, WV. Individual provider (NPI-1).
NPI number1962099374
StatusActive
Last updated in NPPESDec 31, 2020
Details
- NPI
- 1962099374
- Entity type
- Individual (NPI-1)
- Name
- Alex Hicks
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 31, 2020
- Certification date
- Dec 31, 2020
- Last updated
- Dec 31, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
Practice location
2520a Kanawha TerSaint Albans, WV 25177-3216
Phone 304-881-9483
Mailing address
2520a Kanawha TerSaint Albans, WV 25177-3216
Phone 304-881-9483
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