Organization
DIGNITY HOSPICE O SOUTHERN WV
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS LEWIS (PRESIDENT)
(304) 855-4764
Entity
Organization
Contact information
Practice address
3316 SOUTH MAIN STREET, CHAPMANVILLE, WV 25508
(304) 855-4764
(304) 831-6001
Mailing address
3316 SOUTH MAIN STREET, CHAPMANVILLE, WV 25508
(304) 855-4764
(304) 831-6001
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
02940195
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005642000
—
WV
05
—
0005642001
—
WV
Enumeration date
04/25/2007
Last updated
07/23/2008
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