DAVID DARYL VAUGHT

BRIDGEPORT, WV
NPI1033470786
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy314000000X Skilled Nursing Facility
(Licence: WV  0001061)
Enumeration Date2012-05-30
Last Update Date2012-05-30
Business Address
-- DAVID DARYL VAUGHT
RR 5 BOX 108-C
BRIDGEPORT, WV 26330
Phone number: 304-629-5409
Mailing Address
-- DAVID DARYL VAUGHT
RR 5 BOX 108C
BRIDGEPORT, WV 26330-9353
Phone number: 304-629-5409
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