Individual
WANDA B CALDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30 MELODY ROSE LN, ASHEVILLE, NC 28804-9612
(828) 658-2633
Mailing address
PO BOX 1807, LEICESTER, NC 28748-1807
(828) 645-3094
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
FCL-011-308
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77-0667169
—
NC
Enumeration date
01/10/2011
Last updated
01/10/2011
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