FREEDOM WILLIAM FORTUNE

BECKLEY, WV
NPI1043929037
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician Personal Care Attendant
Enumeration Date2022-11-17
Last Update Date2022-11-17
Business Address
FREEDOM WILLIAM FORTUNE
200 TOLBERT ST
BECKLEY, WV 25801-6251
Phone number: 681-222-4519
Mailing Address
FREEDOM WILLIAM FORTUNE
200 TOLBERT ST
BECKLEY, WV 25801-6251
Phone number: 681-222-4519