Organization
DEFELICECARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE P DEFELICE (PRESIDENT & CEO)
(304) 232-4210
Entity
Organization
Contact information
Practice address
138 ROCKDALE RD, SUITE B, FOLLANSBEE, WV 26037-1658
(304) 723-0280
(304) 723-0248
Mailing address
76 SIXTEENTH ST, 200, WHEELING, WV 26003-0618
(304) 232-4210
(304) 232-4213
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
054968
WV
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
054968
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001705530
BCBS
WV
05
—
0147477000
—
WV
05
—
1007375850010
—
OH
Enumeration date
03/22/2007
Last updated
09/17/2013
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