Jeannie Healthcare Incorporation

NPI #1063731107 in Charleston, West Virginia

Provider Information

NPI Number
1063731107
Entity Type
Organization
Organization Name
Jeannie Healthcare Incorporation
Primary Specialty
Exclusive Provider Organization
Enumeration Date
May 28, 2010
Last Updated
May 28, 2010

Practice Location

Address
1406 MADISON ST
ZIP Code
25312-2417
Phone
(304) 345-2014

Authorized Official

Name
JEANNIE LATICIA STEWART
Title
CEO/PRESIDENT
Phone
(304) 345-2014

Specialties & Taxonomy Codes

Specialty
Exclusive Provider Organization

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