CLARENCE EDWARD WESLEY

MADISON HEIGHTS, VA
NPI1184994675
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy320700000X Residential Treatment Facility, Physical Disabilities
Enumeration Date2011-12-30
Last Update Date2011-12-30
Business Address
Mr. CLARENCE EDWARD WESLEY personal provider
2539 GALTS MILL RD 2539 GALTS MILL RD
MADISON HEIGHTS, VA 24572-5808
Phone number: 434-316-4778
Mailing Address
Mr. CLARENCE EDWARD WESLEY personal provider
2539 GALTS MILL RD
MADISON HEIGHTS, VA 24572-5808
Phone number: 434-316-4778