Most Relevant Information
Provider Data
| NPI Number: | 1003643404 |
| Provider Name: | CODY MAXWELL |
| Entity Type: | Individual |
| Taxonomy Code: | 374U00000X |
| Specialty: | Home Health Aide |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/18/2024 |
| Last Updated: | 09/18/2024 |
Provider Practice Location
711 WINDING HEIGHTS RD
PARKERSBURG
WV
261047809
Practice Location Phone/Fax
| Phone: | 6815888098 |
| Fax: |
Provider Mailing Location
711 WINDING HEIGHTS RD
PARKERSBURG
WV
261047809
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |