Mr. Clarence Edward Wesley, PERSONALPROVIDER
Mr. Clarence Edward Wesley, PERSONALPROVIDER is a Physical Disabilities Residential Treatment Facility in Madison Heights, Virginia. Practices as a sole proprietor. Licensed in Virginia.
- Licensed in
- VA
- In the registry since
- 2011
Practice location Address checks out
2539 Galts Mill Rd 2539 Galts Mill RdMadison Heights, VA 24572-5808
Phone: (434) 316-4778
Fax: (434) 845-0856
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Disabilities Residential Treatment Facility (primary) | Taxonomy 320700000X (VA) |
|---|
Record details
| NPI number | 1184994675 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PERSONALPROVIDER |
| Sole proprietor | Yes |
| NPI enumerated | December 30, 2011 |
| Last updated in NPPES | December 30, 2011 |