# BOONE MEMORIAL HOSPITAL HOME CARE (HMKR)

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

## Provider details

- **NPI number:** 1750501995
- **Authorized official:** MR. RANDELL DAVIS FOXX (EXE. DIR., FIN. SER.)
- **Authorized official phone:** (304) 369-1230

## Contact information

- **Practice address:** 701 MADISON AVE, MADISON, WV 25130-1669
- **Practice address phone:** (304) 369-1230
- **Practice address fax:** (304) 369-6036
- **Mailing address:** 701 MADISON AVE, MADISON, WV 25130-1669
- **Mailing address phone:** (304) 369-1230
- **Mailing address fax:** (304) 369-6036

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 119 | WV | Yes |

## Other

- **Enumeration date:** 04/30/2007
- **Last updated:** 08/22/2020