Organization
DEFELICECARE, INC.
Active
Other names
DeFelice Mobility
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LESLIE DEFELICE (PRESIDENT & CEO)
(304) 232-4210
Entity
Organization
Contact information
Practice address
76 SIXTEENTH ST, 200, WHEELING, WV 26003-3660
(304) 232-4210
(304) 232-4212
Mailing address
76 SIXTEENTH ST, 200, WHEELING, WV 26003-3660
(304) 232-4210
(304) 232-4212
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
ST0552267
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0147477000
—
WV
05
—
2171395
—
OH
Enumeration date
05/15/2007
Last updated
01/10/2012
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