# RSCR WEST VIRGINIA, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053635912
- **Authorized official:** DEENA OMBRES (PRIVACY OFFICER)
- **Authorized official phone:** (502) 394-2387

## Contact information

- **Practice address:** 1618 BUCKHANNON PIKE, NUTTER FORT, WV 26301-4465
- **Practice address phone:** (304) 326-0140
- **Mailing address:** 9901 LINN STATION RD, LOUISVILLE, KY 40223-3808
- **Mailing address phone:** (800) 866-0860

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | WV | Yes |

## Other

- **Enumeration date:** 03/22/2010
- **Last updated:** 03/22/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3810011260 | — | WV |