Facts
- Status
- A
- Type
- Organization
- Enumeration date
- 2009-03-17
- Last updated
- 2024-02-12
Licenses
The registry row did not include a license.
Location
- Practice location
- 999 B STREET
- City
- CEREDO WV
- Postal code
- 255070876
- Phone
- 304-453-1401
Organization contact
- Name
- LEAH HARRISON
- Title
- EXECUTIVE DIRECTOR
- Phone
- 3044531401
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
The OIG NPI list is not in this build yet. Confirm on OIG's search.
Nearby
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Removal request
Public data from NPPES and CMS. Not a credentialing determination.