NPI 1083171078

Premium Martial Arts Wv LLC

Organisation Developmentally Disabled Services Day Training Agency Dunbar, WV

Practice location

Address: 963 Dunbar Village Plz, Dunbar, WV 25064-3137
Phone: (304) 807-0251
Mailing address: 602 Crossroads Vlg, Nitro, WV 25143-2054

Authorised official

Name: Jessica Lynn Madden
Title: Owner/Instructor
Phone: (304) 807-0251

Registered specialties

Developmentally Disabled Services Day Training Agency Primary

Agencies Taxonomy 251C00000X

Other Day Training, Developmentally Disabled Services providers in West Virginia →

Registry record

NPI: 1083171078
Entity type: Organization
NPI issued: 26 Feb 2019
Record last updated: 26 Feb 2019

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.