Organization
INTEGRICARE, INC
Active
Other names
Extend A Care 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
145 GEORGE ST, BECKLEY, WV 25801-2607
(304) 253-2273
(304) 253-3930
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
—
0170105000
—
WV
Enumeration date
02/22/2006
Last updated
08/22/2020
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