Organization
MOUNTAIN STATE HOME HEALTH CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VALARIE L PHILLIPS (PRESIDENT)
(304) 256-8201
Entity
Organization
Contact information
Practice address
254 GEORGE ST, BECKLEY, WV 25801-2641
(304) 256-8201
(304) 256-8204
Mailing address
254 GEORGE ST, BECKLEY, WV 25801-2641
(304) 256-8201
(304) 256-8204
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0031273000
—
WV
Enumeration date
07/02/2007
Last updated
08/16/2007
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