ETHELBERT BROADNAX

Home Health Aide

Active Individual
NPI: 1083407670

Practice Address

201 PINE GROVE CIR
Daniels, WV 25832

Phone: (304) 763-5191

Specialties

Specialty Code Primary License
Home Health Aide 374U00000X Yes -

Frequently Asked Questions

NPI 1083407670 is the National Provider Identifier for ETHELBERT BROADNAX, a Home Health Aide provider located in Daniels, WV. This NPI was enumerated on May 27, 2025.
ETHELBERT BROADNAX practices at 201 PINE GROVE CIR, Daniels, WV 25832.

Quick Facts

NPI
1083407670
Type
Individual
Enumerated
May 27, 2025
Last Updated
May 27, 2025

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