JEANNIE HEALTHCARE INCORPORATION
Managed Care Organizations at Madison St, Charleston, WV

License number
West Virginia 99FMG
Category
Managed Care Organizations
Type
Exclusive Provider Organization
Owner
Name: JEANNIE LATICIA STEWART
Title: CEO/PRESIDENT
Phone: (304) 345-2014
Address
Address
1406 Madison St, Charleston, WV 25312
National Provider ID: 1063731107
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about JEANNIE HEALTHCARE INCORPORATION at bizstanding.com

JEANNIE HEALTHCARE INCORPORATION

196 Wertz Ave, Charleston, WV 25302

Status:
Inactive
Inactive reason:
Revoked (Failure to File Annual Report)
Registration:
Jul 15, 2009
Inactive since:
Nov 1, 2010
Business type:
Corporation
Incorporators:
Jeannie Stewart (Incorporator), 196 Wertz Ave, Charleston, WV 25311,Ronald Stewart (Incorporator), 196 Wertz Ave, Charleston, WV 25311

Jeannie Healthcare Incorporation

1406 Madison St, Charleston, WV 25387

Status:
Inactive
Industry:
Health/Allied Services
Principal:
Jeannie L. Stewart Principal, inactive

Other Doctors licenses in West Virginia