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Organization

WEIRTON HEALTH CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LOUIS SERRA (CEO)
(304) 723-2230
Entity
Organization

Contact information

Practice address
2525 PENNSYLVANIA AVE, WEIRTON, WV 26062-3634
(304) 723-2230
(304) 723-3849
Mailing address
2525 PENNSYLVANIA AVE, WEIRTON, WV 26062-3634
(304) 723-2230
(304) 723-3849

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
040859
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0003965001
WV
Enumeration date
12/05/2006
Last updated
08/22/2020
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