Most Relevant Information
Provider Data
| NPI Number: | 1003402603 |
| Provider Name: | JENNIFER ERDELY |
| Entity Type: | Individual |
| Taxonomy Code: | 374U00000X |
| Specialty: | Home Health Aide |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/17/2020 |
| Last Updated: | 12/17/2020 |
Provider Practice Location
301 SCOTT AVE
MORGANTOWN
WV
265088804
Practice Location Phone/Fax
| Phone: | 3042961731 |
| Fax: | 3045816925 |
Provider Mailing Location
301 SCOTT AVE
MORGANTOWN
WV
265088804
Provider Mailing Phone/Fax
| Phone: | 3042961731 |
| Fax: | 3045816925 |