Individual provider · Type 1 NPI
Clarence Edward Wesley, PERSONAL PROVIDER
Physical Disabilities Residential Treatment Facility · Madison Heights, VA
Practice location
2539 Galts Mill Rd, 2539 Galts Mill Rd
Madison Heights, VA 24572-5808
Fax (434) 845-0856
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Disabilities Residential Treatment Facility Primary | 320700000X | None listed |
Physical Disabilities Residential Treatment Facility: 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.
About NPI 1184994675
Clarence Edward Wesley, PERSONAL PROVIDER's National Provider Identifier is 1184994675, issued on Dec 30, 2011. The primary taxonomy on file is Physical Disabilities Residential Treatment Facility (320700000X), and the practice location is in Madison Heights, VA. The record was last updated on Dec 30, 2011.