Organization
RSCR WEST VIRGINIA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEENA OMBRES (PRIVACY OFFICER)
(502) 394-2387
Entity
Organization
Contact information
Practice address
1618 BUCKHANNON PIKE, NUTTER FORT, WV 26301-4465
(304) 326-0140
Mailing address
9901 LINN STATION RD, LOUISVILLE, KY 40223-3808
(800) 866-0860
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810011260
—
WV
Enumeration date
03/22/2010
Last updated
03/22/2010
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