Organization
DODDRIDGE COUNTY BOARD OF HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA LYNNE DAVIS (ADMINISTRATOR)
(304) 873-1531
Entity
Organization
Contact information
Practice address
60 PENNSYLVANIA ST, WEST UNION, WV 26456-8143
(304) 873-1531
Mailing address
60 PENNSYLVANIA ST, WEST UNION, WV 26456-8143
(304) 873-1531
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
008845
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0021476000
—
WV
05
—
0021476001
—
WV
05
—
0021476002
—
WV
05
—
0021476003
—
WV
05
—
0021476004
—
WV
Enumeration date
07/01/2005
Last updated
04/22/2021
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