Healthcare Provider Details

I. General information

NPI: 1659712958
Provider Name (Legal Business Name): CLAIRE-FRANCES HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2013
Last Update Date: 11/18/2021
Certification Date: 11/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5528 MACCORKLE AVE SE
CHARLESTON WV
25304-2320
US

IV. Provider business mailing address

1557 WINCHESTER AVE
ASHLAND KY
41101-7636
US

V. Phone/Fax

Practice location:
  • Phone: 606-325-1115
  • Fax: 866-606-4663
Mailing address:
  • Phone: 606-325-1115
  • Fax: 606-324-4663

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. JUSTIN BLAKE GILLUM
Title or Position: EXECUTIVE DIRECTOR
Credential: PHARMD
Phone: 606-325-1115