NPI 1184994675

Clarence Edward Wesley, PERSONALPROVIDER

Practitioner Physical Disabilities Residential Treatment Facility Madison Heights, VA

Practice location

Address: 2539 Galts Mill Rd 2539 Galts Mill Rd, Madison Heights, VA 24572-5808
Phone: (434) 316-4778
Fax: (434) 845-0856
Mailing address: 2539 Galts Mill Rd, Madison Heights, VA 24572-5808

Registered specialties

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X

Other Residential Treatment Facility, Physical Disabilities providers in Virginia →

Registry record

NPI: 1184994675
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Dec 2011
Record last updated: 30 Dec 2011

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.