NPI 1144569583

Leon Hastings, MOTL

Practitioner Skilled Nursing Facility Bridgeport, WV

Practice location

Address: 415 Benedum Dr, Bridgeport, WV 26330-1503
Phone: (304) 842-9887
Fax: (304) 842-9888

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 1121 (WV)

Other Skilled Nursing Facility providers in West Virginia →

Registry record

NPI: 1144569583
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Feb 2013
Record last updated: 5 Feb 2013

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.