Organization
ESSENTIAL NEEDS HOMECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY J COLLINS RN (OWNER)
(304) 816-3687
Entity
Organization
Contact information
Practice address
16 MOUNTAIN PARK DR, FAIRMONT, WV 26554-8992
(304) 816-3687
(304) 816-3737
Mailing address
2019 PLEASANT VALLEY RD, FAIRMONT, WV 26554-9295
(304) 816-3687
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
22893837
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821424755
—
WV
Enumeration date
02/20/2017
Last updated
03/15/2024
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