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Mr. Clarence Edward Wesley, PERSONALPROVIDER
Physical Disabilities Residential Treatment Facility in Madison Heights, Virginia
NPI 1184994675

Clarence Edward Wesley is a Physical Disabilities Residential Treatment Facility based in Madison Heights, VA. Clarence Edward Wesley practices in Madison Heights, VA and has the professional credentials of PERSONALPROVIDER. The NPI Number for Clarence Edward Wesley is 1184994675 and holds a License No. (Virginia).

The current practice location address for Clarence Edward Wesley is 2539 Galts Mill Rd, Madison Heights, VA and can be reached out via phone at 434-316-4778 and via fax at 434-845-0856.

Location: 2539 Galts Mill Rd, Madison Heights, VA, 24572-5808
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184994675
Provider Name
Clarence Edward Wesley
Credential
PERSONALPROVIDER
Provider Entity Type
Individual
Gender
Male
Address
2539 Galts Mill Rd, Madison Heights, VA, 24572-5808
Phone Number
434-316-4778
Fax Number
434-845-0856
Provider Enumeration Date
12/30/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2539 Galts Mill Rd
City
Madison Heights
State
Virginia
Zip
24572-5808
Phone Number
434-316-4778
Fax Number
434-845-0856
person
Provider Business Mailing Address Details
Address
2539 Galts Mill Rd
City
Madison Heights
State
Virginia
Zip
24572-5808
Phone Number
434-316-4778
Fax Number
434-845-0856
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Physical Disabilities
Speciality
-
Taxonomy
320700000X
License No.
(Virginia)
Definition
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.
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