Organization
JACOB'S LADDER AT BROOKSIDE FARM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN BLANKENSHIP MD (CEO)
(304) 290-0000
Entity
Organization
Contact information
Practice address
25208 GEORGE WASHINGTON HWY, AURORA, WV 26705-8036
(304) 239-1214
Mailing address
515 GRAND ST, MORGANTOWN, WV 26501-6607
(304) 290-0000
(304) 290-0000
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
WV
Other
Enumeration date
01/10/2018
Last updated
01/10/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us