Most Relevant Information
Provider Data
| NPI Number: | 1003402314 |
| Provider Name: | BOBBIE BOATWRIGHT |
| Entity Type: | Individual |
| Taxonomy Code: | 376J00000X |
| Specialty: | Homemaker |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/21/2020 |
| Last Updated: | 12/21/2020 |
Provider Practice Location
699 STRATTON ST
LOGAN
WV
256014020
Practice Location Phone/Fax
| Phone: | 3047526868 |
| Fax: | 3047521047 |
Provider Mailing Location
PO BOX 1346
LOGAN
WV
256011346
Provider Mailing Phone/Fax
| Phone: | 3047526868 |
| Fax: | 3047521047 |