Organization
HOME BASE INC.
Active
Other names
Home Base Upshur County Group Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAMON C. CATER (CEO)
(304) 472-6826
Entity
Organization
Contact information
Practice address
1362 MOUNTAIN RIDGE RD, BUCKHANNON, WV 26201-5117
(304) 473-6826
(304) 472-8978
Mailing address
713 BIGLEY AVE, CHARLESTON, WV 25302-3356
(304) 746-2918
(304) 472-8978
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
135
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9435000000
—
WV
Enumeration date
07/20/2007
Last updated
07/08/2024
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