NPI 1063731107
Jeannie Healthcare Incorporation
Practice location
- Address
- 1406 Madison St, Charleston, WV 25312-2417
- Phone
- (304) 345-2014
- Mailing address
- 1406 Madison St 196 Wertz Ave., Charleston, WV 25312-2417
Authorised official
- Name
- Jeannie Laticia Stewart
- Title
- Ceo/President
- Phone
- (304) 345-2014
Registered specialties
Exclusive Provider Organization
Primary
Registry record
- NPI
- 1063731107
- Entity type
- Organization
- NPI issued
- 28 May 2010
- Record last updated
- 28 May 2010
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.