Most Relevant Information
Provider Data
| NPI Number: | 1003410564 |
| Provider Name: | STACEY CREMEANS |
| Entity Type: | Individual |
| Taxonomy Code: | 374U00000X |
| Specialty: | Home Health Aide |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/25/2020 |
| Last Updated: | 11/25/2020 |
Provider Practice Location
708 CENTRAL AVE
BARBOURSVILLE
WV
255041304
Practice Location Phone/Fax
| Phone: | 3047364632 |
| Fax: |
Provider Mailing Location
PO BOX 487
BARBOURSVILLE
WV
255040487
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |