Organization
CHESAPEAKE HEALTHCARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GENISE L LALOS MA (OWNER)
(304) 690-3802
Entity
Organization
Contact information
Practice address
11950 MACCORKLE AVE, CHESAPEAKE, WV 25315-1135
(304) 690-3802
Mailing address
5054 BENNINGTON DR, CHARLESTON, WV 25313-2051
(304) 690-3802
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
06/14/2018
Last updated
06/14/2018
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