Organization
RESCARE
Active
Other names
VOCA
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA JONES (EXECUTIVE DIRECTOR)
(304) 431-3533
Entity
Organization
Contact information
Practice address
226 OLD BLUEFIELD RD, PRINCETON, WV 24740-8903
(304) 425-2108
(304) 487-9474
Mailing address
PO BOX 1560, PRINCETON, WV 24740-1560
(304) 487-0788
(304) 487-2455
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
301
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005258011
—
WV
Enumeration date
12/26/2006
Last updated
08/22/2020
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