Organization
AT HOME INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIDNEY MURPHY (EXECUTIVE DIRECTOR)
(304) 329-6272
Entity
Organization
Contact information
Practice address
421 1/2 E MAIN ST, KINGWOOD, WV 26537-1701
(304) 329-6272
Mailing address
PO BOX 429, KINGWOOD, WV 26537-0429
(304) 329-6272
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810009469
—
WV
Enumeration date
08/17/2007
Last updated
08/17/2007
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