Most Relevant Information
Provider Data
| NPI Number: | 1003535865 |
| Provider Name: | PATRICIA TILLER |
| Entity Type: | Individual |
| Taxonomy Code: | 374U00000X |
| Specialty: | Home Health Aide |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/24/2022 |
| Last Updated: | 08/24/2022 |
Provider Practice Location
42 PARRISH LN
ASHFORD
WV
250099091
Practice Location Phone/Fax
| Phone: | 3048365505 |
| Fax: |
Provider Mailing Location
42 PARRISH LN
ASHFORD
WV
250099091
Provider Mailing Phone/Fax
| Phone: | 3048365505 |
| Fax: |