Organization
ST. MARY'S MEDICAL CENTER HOME HEALTH SERVICES, LLC
Active
Other names
St. Mary's Home Health Service
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS GACHASSIN III (EXECUTIVE VICE PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
5187 US ROUTE 60, SUITE 13, HUNTINGTON, WV 25705-2076
(304) 733-5010
(304) 733-5024
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 233-5764
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0170615
—
WV
Enumeration date
08/17/2007
Last updated
10/29/2021
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