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1144569583
LEON HASTINGS
BRIDGEPORT, WV
NPI
1144569583
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
314000000X Skilled Nursing Facility
(Licence: WV 1121)
Enumeration Date
2013-02-05
Last Update Date
2013-02-05
Business Address
Mr. LEON HASTINGS MOT/L
415 BENEDUM DR
BRIDGEPORT, WV 26330-1503
Phone number: 304-842-9887
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Mailing Address
Mr. LEON HASTINGS MOT/L
415 BENEDUM DR
BRIDGEPORT, WV 26330-1503
Phone number: 304-842-9887
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