Organization
DEFELICECARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LESLIE P DEFELICE (PRESIDENT & CEO)
(304) 232-4210
Entity
Organization
Contact information
Practice address
6118 MID ATLANTIC DRIVE, MORGANTOWN, WV 26508-4294
(304) 594-1222
(304) 594-1444
Mailing address
76 SIXTEENTH STREET, SUITE 200, WHEELING, WV 26003-3660
(304) 232-4210
(304) 232-4213
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
1043-4828
WV
Other
Enumeration date
02/03/2011
Last updated
08/02/2012
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