Organization
VISITING HOMEMAKER SERVICE OF MONONGALIA COUNTY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUDITH BRENNEN (DIRECTOR)
(304) 599-7743
Entity
Organization
Contact information
Practice address
382 BROADWAY AVE, MORGANTOWN, WV 26505-3193
(304) 599-7743
(304) 599-5922
Mailing address
382 BROADWAY AVE, MORGANTOWN, WV 26505-3193
(304) 599-7743
(304) 599-5922
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1035-4182
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0030862000
—
WV
Enumeration date
01/27/2012
Last updated
01/27/2012
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