Most Relevant Information
Provider Data
| NPI Number: | 1003587205 |
| Provider Name: | STACEY L BARTLETT |
| Entity Type: | Individual |
| Taxonomy Code: | 374U00000X |
| Specialty: | Home Health Aide |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/27/2021 |
| Last Updated: | 09/27/2021 |
Provider Practice Location
3901 BRISCOE RUN RD
PARKERSBURG
WV
261040002
Practice Location Phone/Fax
| Phone: | 3044220776 |
| Fax: |
Provider Mailing Location
3901 BRISCOE RUN RD
PARKERSBURG
WV
261040002
Provider Mailing Phone/Fax
| Phone: | 3044220776 |
| Fax: |