Organization
RESCARE WEST VIRGINIA, INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACKIE CANFIELD (EXECUTIVE DIRECTOR)
(304) 326-0140
Entity
Organization
Contact information
Practice address
218 INDIANA AVE, NUTTER FORT, WV 26301-4550
(304) 326-0140
(304) 326-0152
Mailing address
1618 BUCKHANNON PIKE, NUTTER FORT, WV 26301-4465
(304) 326-0140
(304) 326-0152
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
332
WV
Other
Enumeration date
12/21/2006
Last updated
08/22/2020
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