Jordan Staley
NPI #1750179198 in Falling Waters, West Virginia
Provider Information
- NPI Number
- 1750179198
- Entity Type
- Individual
- Name
- Jordan Staley
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Early Intervention Provider Agency
- Enumeration Date
- Apr 26, 2025
- Last Updated
- Apr 26, 2025
Practice Location
- Address
- 1414 KITCHENS ORCHARD RD
- City
- Falling Waters
- State
- West Virginia
- ZIP Code
- 25419-3872
- Phone
- (304) 886-2832
Specialties & Taxonomy Codes
| Specialty |
|---|
| Early Intervention Provider Agency |
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