Tillie Joy Lively
NPI #1194520429 in Ronceverte, West Virginia
Provider Information
- NPI Number
- 1194520429
- Entity Type
- Individual
- Name
- Tillie Joy Lively
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician - Personal Care Attendant
- Enumeration Date
- Feb 19, 2025
- Last Updated
- Feb 19, 2025
Practice Location
- Address
- 205 FAIRLEA PLAZA DR
- City
- Ronceverte
- State
- West Virginia
- ZIP Code
- 24970-9587
- Phone
- (304) 956-0248
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Personal Care Attendant — Personal Care Attendant |
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