NPI 1174032338

Lead Academy, INC.

Organisation Case Management Agency Midway, WV

Practice location

Address: 351 Valley View St, Midway, WV 25878
Phone: (304) 573-0661
Fax: (304) 573-0661
Mailing address: PO Box 280, Midway, WV 25878-0280

Authorised official

Name: Eugene Kirby Blankenship
Title: President
Phone: (304) 573-0661

Registered specialties (5)

Case Management Agency Primary

Agencies Taxonomy 251B00000X

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Custodial Care Facility

Nursing & Custodial Care Facilities Taxonomy 311Z00000X

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Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320900000X

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Substance Abuse Rehabilitation Facility

Residential Treatment Facilities Taxonomy 324500000X

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Transportation Broker

Transportation Services Taxonomy 347E00000X

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Registry record

NPI: 1174032338
Entity type: Organization
NPI issued: 20 Sep 2017
Record last updated: 17 Aug 2020

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.