MR. CLARENCE EDWARD WESLEY PERSONAL PROVIDER NPI 1184994675

NPI Information

NPI: 1184994675
Provider Name: MR. CLARENCE EDWARD WESLEY, PERSONAL PROVIDER
Classification: Residential Treatment Facility, Physical Disabilities - 320700000X
Entity Type: Individual
Address:
2539 GALTS MILL RD
2539 GALTS MILL RD
MADISON HEIGHTS, VA
ZIP 24572
Phone: (434) 316-4778
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MR. Clarence Edward Wesley, PERSONAL PROVIDER is a residential treatment facility physical disabilities in Madison Heights, VA. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently. MR. Clarence Edward Wesley, PERSONAL PROVIDER NPI is 1184994675. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2539 GALTS MILL RD
2539 GALTS MILL RD
MADISON HEIGHTS, VA
ZIP 24572-808
Phone: (434) 316-4778
Fax: (434) 845-0856

The enumeration date for this NPI number is 12/30/2011 and was last updated on 12/30/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320700000X	Residential Treatment Facility, Physical Disabilities			VIRGINIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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