# VAIN 304 HYDRATION AND WELLNESS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629726070
- **Authorized official:** REBECCA CLAXTON FNP-C (OWNER)
- **Authorized official phone:** (304) 552-3203

## Contact information

- **Practice address:** 3554 TEAYS VALLEY RD STE 114, HURRICANE, WV 25526-9169
- **Practice address phone:** (304) 223-5200
- **Practice address fax:** (304) 223-5500
- **Mailing address:** 3554 TEAYS VALLEY RD STE 114, HURRICANE, WV 25526-9169
- **Mailing address phone:** (304) 223-5200
- **Mailing address fax:** (304) 223-5500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/15/2022
- **Last updated:** 03/15/2022