Organization
RESCARE
Active
Other names
VOCA
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TOM RIGGINS (EXECUTIVE DIRECTOR-BECKLEY AGENCY)
(304) 255-7676
Entity
Organization
Contact information
Practice address
811 S KANAWHA ST, BECKLEY, WV 25801
(304) 252-5937
(304) 252-5939
Mailing address
PO BOX 1659, BEAVER, WV 25813
(304) 255-7676
(304) 255-2380
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005258009
—
WV
Enumeration date
12/21/2006
Last updated
08/22/2020
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