Wanda Lee

NPI #1821414319 in Princeton, West Virginia

Provider Information

NPI Number: 1821414319
Entity Type: Organization
Organization Name: Wanda Lee
Primary Specialty: Private Vehicle
Enumeration Date: Mar 9, 2014
Last Updated: Mar 10, 2014

Practice Location

Address: 303 LOW GAP RD
City: Princeton
State: West Virginia
ZIP Code: 24740-2530
Phone: (304) 960-9348

Authorized Official

Name: MRS. WANDA LEE, BA
Title: OWNER
Phone: (304) 960-9348

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Custodial Care Facility - Adult Care Home — Adult Care Home	311ZA0620X
Private Vehicle	347C00000X	Primary

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