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Organization
SISTERSVILLE HAVEN LIMITED PARTNERSHIP
Active
Organization
SISTERSVILLE HAVEN LIMITED PARTNERSHIP
Active
Other names
Sistersville Center
Organization subpart
No
Provider details
NPI number
Authorized official
JANE DROPESKEY (CORPORATE MANAGER)
(610) 925-4231
Entity
Organization
Contact information
Practice address
201 WOOD ST, SISTERSVILLE, WV 26175-1523
(304) 652-1032
(304) 652-2214
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(610) 925-4436
(610) 925-4351
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
119
WV
343900000X
Non-emergency Medical Transport (VAN)
119
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0002847000
—
WV
05
—
0002847001
—
WV
01
—
000329451
MOUNTAIN STATE BC/BS
—
01
—
2507229
AETNA-HMO
—
01
—
282198
UNITED - MAMSI
—
01
—
S207
HPUOV
—
Enumeration date
06/18/2006
Last updated
08/17/2018
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