Organization
MARION COUNTY HEALTH DEPARTMENT HOME HEALTH SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LLOYD R WHITE RS MPH (ADMINISTRATOR)
(304) 366-5588
Entity
Organization
Contact information
Practice address
300 2ND ST, FAIRMONT, WV 26554-2830
(304) 366-5588
(304) 366-9413
Mailing address
300 2ND ST, FAIRMONT, WV 26554-2830
(304) 366-5588
(304) 366-9413
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
022188
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0022865001
—
WV
Enumeration date
07/08/2005
Last updated
08/22/2020
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