# MARION COUNTY HEALTH DEPARTMENT HOME HEALTH SERVICE

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

## Provider details

- **NPI number:** 1184622722
- **Authorized official:** MR. LLOYD R WHITE RS MPH (ADMINISTRATOR)
- **Authorized official phone:** (304) 366-5588

## Contact information

- **Practice address:** 300 2ND ST, FAIRMONT, WV 26554-2830
- **Practice address phone:** (304) 366-5588
- **Practice address fax:** (304) 366-9413
- **Mailing address:** 300 2ND ST, FAIRMONT, WV 26554-2830
- **Mailing address phone:** (304) 366-5588
- **Mailing address fax:** (304) 366-9413

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 022188 | WV | Yes |

## Other

- **Enumeration date:** 07/08/2005
- **Last updated:** 08/22/2020