# IC CARE, LLC

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

## Provider details

- **NPI number:** 1750147401
- **Authorized official:** TATE BLANCHARD (CHIEF DEVELOPMENT OFFICER)
- **Authorized official phone:** (304) 905-8160

## Contact information

- **Practice address:** 1113 MAIN ST, WHEELING, WV 26003-2703
- **Practice address phone:** (304) 905-8160
- **Practice address fax:** (304) 905-8251
- **Mailing address:** PO BOX 6878, WHEELING, WV 26003-0924
- **Mailing address phone:** (304) 905-8160
- **Mailing address fax:** (304) 905-8251

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/21/2024
- **Last updated:** 02/21/2024