51D2188061 CLIA NUMBER - CHARLENE WILSON FNP-C LLC

Laboratory Demographics

CLIA Number: 51D2188061

Facility Name: CHARLENE WILSON FNP-C LLC

Facility Address:
HOPE HILL MENTAL WELLNESS CENTER 1809 DUPONT RD EAST STE 1
PARKERSBURG, WV
ZIP 26101
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Facility Phone Number: 304 481-4905

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1548872104

Taxonomy: 3747P1801X - Technician
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards

CLIA Record

Field Name	Field Value
CLIA Number	51D2188061
LAB Type	Physician Office
Facility Name	CHARLENE WILSON FNP-C LLC
Street	HOPE HILL MENTAL WELLNESS CENTER 1809 DUPONT RD EAST STE 1
City	PARKERSBURG
State	WV
ZIP	26101
Phone	304 481-4905
CertificateType	4
CertificateEffectiveDate	7/13/2022
CertificateExpirationDate	7/12/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024