Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CLARENCE EDWARD WESLEY, PERSONAL PROVIDER
Active Sole ProprietorMR. CLARENCE EDWARD WESLEY, PERSONAL PROVIDER is a Physical Disabilities Residential Treatment Facility healthcare provider located in MADISON HEIGHTS, Virginia. NPI 1184994675 is currently active in the NPPES registry. Verify at CMS.
Physical Disabilities Residential Treatment Facility · MADISON HEIGHTS, VA
Registration Details
- NPI Number
- 1184994675
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 30, 2011 (14.440201221536 yrs)
- Last Updated
- Dec 30, 2011
- Sole Proprietor
- Yes
Practice Information
- Address
-
2539 GALTS MILL RD2539 GALTS MILL RDMADISON HEIGHTS, VA, 245725808Browse VA providers · Browse ZIP 24572
- Phone
- 4343164778
- Fax
- 4348450856
- Primary Specialty
-
Physical Disabilities Residential Treatment Facility
320700000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.