# STONERISE HOME HEALTH SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Stonerise Home Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720443914
- **Authorized official:** MR. LAWRENCE A PACK (MANAGER)
- **Authorized official phone:** (304) 343-1950

## Contact information

- **Practice address:** 30 MON GENERAL DR STE 2, MORGANTOWN, WV 26505-2853
- **Practice address phone:** (304) 212-4342
- **Practice address fax:** (304) 241-5123
- **Mailing address:** 7500 MACCORKLE AVE SE, CHARLESTON, WV 25304-2935
- **Mailing address phone:** (304) 343-1950
- **Mailing address fax:** (304) 343-1947

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 12/15/2015
- **Last updated:** 05/18/2022
