Organization
WANDA LEE
Active
Other names
Jr Transit
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WANDA LEE BA (OWNER)
(304) 960-9348
Entity
Organization
Contact information
Practice address
303 LOW GAP RD, PRINCETON, WV 24740-2530
(304) 960-9348
(304) 431-3198
Mailing address
303 LOW GAP RD, PRINCETON, WV 24740-2530
(304) 960-9348
(304) 431-3198
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
—
—
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
03/09/2014
Last updated
03/10/2014
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