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Organization

RESCARE

Active
Other names
VOCA
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TOM RIGGINS (EXECUTIVE DIRECTOR - BECKLEY AGENCY)
(304) 255-7676
Entity
Organization

Contact information

Practice address
1204 S KANAWHA ST, BECKLEY, WV 25801
(304) 252-5676
(304) 252-5645
Mailing address
673 RITTER DRIVE, BOX 1659, BEAVER, WV 25813
(304) 252-5676
(304) 252-5645

Taxonomy

Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
0005258008
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0005258008
WV
Enumeration date
12/28/2006
Last updated
08/22/2020
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