SearchVirginiaPhysical Disabilities Residential Treatment Facility

Clarence Wesley, PERSONAL PROVIDER

NPI 1184994675 · on the registry since 2011 · sole proprietor

Practice

Address
2539 Galts Mill Rd
2539 Galts Mill Rd
Madison Heights, VA 24572
Phone
(434) 316-4778
Fax
(434) 845-0856

Registry record

Primary taxonomy
Physical Disabilities Residential Treatment Facility
320700000X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-12-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia