| Doctor Name: | WANDA B CALDWELL |
| NPI Number: | 1003110776 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | FCL-011-308 |
| Business Practice Address: | 30 Melody Rose Ln Asheville, NC - 288049612 |
| Business Phone Number: | 8286582633 |
| Business Fax Number: | |
| Mailing Address: | Po Box 1807, LEICESTER |
| State: | NC |
| Postal Code: | 287481807 |
| Phone Number: | 8286453094 |
| Fax Number: | |
| NPI Enumeration Date: | 01/10/2011 |
| NPI Last Update Date: | 01/10/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 310400000X |
| License Number: | FCL-011-308 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Nursing & Custodial Care Facilities |
| Taxonomy Classification: | Assisted Living Facility |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |