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NPI 1427916865

IndividualActive

Avis Lake

NPI 1427916865 · Personal Care Attendant · Mount Nebo, WV

Provider details

NPI number: 1427916865
Entity type: Individual
Primary specialty: Personal Care AttendantNursing Service Related Providers
Sex: Female
Sole proprietor: No

Practice location

785 Summersville Lake Rd

Mount Nebo, WV 26679-9203

Phone: (304) 883-2334

More WV providers

Mailing address

Po Box 569

Mount Nebo, WV 26679-0569

Registry dates

Enumerated: 2026-01-14
Last updated: 2026-01-14

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Avis Lake — NPI 1427916865, Mount Nebo, WV | NPI Central