Healthcare Provider Details

I. General information

NPI: 1245426154
Provider Name (Legal Business Name): DONNA S. WEST
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2007
Last Update Date: 09/25/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

322 NUWAY CIR REHAB ROOM
LENOIR NC
28645-3656
US

IV. Provider business mailing address

322 NUWAY CIR LENOIR HEALTHCARE REHAB ROOM
LENOIR NC
28645-3656
US

V. Phone/Fax

Practice location:
  • Phone: 828-754-8500
  • Fax: 828-754-8500
Mailing address:
  • Phone: 828-754-8500
  • Fax: 828-754-8500

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MS. DONNA SHEREE' WEST
Title or Position: COTA/L
Credential:
Phone: 828-754-8500