Organization
INTEGRICARE, INC
Active
Other names
ServCare Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
JON C ESTES (VICE PRESIDENT CFO)
(203) 741-6565
Entity
Organization
Contact information
Practice address
417 GRAND PARK DR, SUITE 101, PARKERSBURG, WV 26105-4049
(304) 428-2554
(304) 428-2518
Mailing address
9 S CHERRY ST, WALLINGFORD, CT 06492-3537
(203) 741-6565
(203) 269-2227
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
CON
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0170105001
—
WV
05
—
2340701
—
OH
Enumeration date
02/21/2006
Last updated
08/22/2020
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