IndividualActive
Clarence Wesley, PERSONAL PROVIDER
NPI 1184994675 · Physical Disabilities Residential Treatment Facility · Madison Heights, VA
Provider details
- NPI number
- 1184994675
- Entity type
- Individual
- Primary specialty
- Physical Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Credential
- PERSONAL PROVIDER
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Residential Treatment Facilities
Practice location
2539 Galts Mill Rd
2539 Galts Mill Rd
Madison Heights, VA 24572-5808
Phone: (434) 316-4778
Fax: (434) 845-0856
Approximate (ZIP-level) locationGet directions
Mailing address
2539 Galts Mill Rd
Madison Heights, VA 24572-5808
Registry dates
- Enumerated
- 2011-12-30
- Last updated
- 2011-12-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.