Organization
SISTERSVILLE HAVEN LIMITED PARTNERSHIP
Active
Other names
Sistersville Center
Organization subpart
No
Provider details
NPI number
Authorized official
JANE DROPESKEY (CORPORATE MANAGER)
(610) 925-4231
Entity
Organization
Contact information
Practice address
201 WOOD ST, SISTERSVILLE, WV 26175-1523
(304) 652-1032
(304) 652-2214
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(610) 925-4436
(610) 925-4351
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
119
WV
343900000X
Non-emergency Medical Transport (VAN)
119
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0002847000
—
WV
05
—
0002847001
—
WV
01
—
000329451
MOUNTAIN STATE BC/BS
—
01
—
2507229
AETNA-HMO
—
01
—
282198
UNITED - MAMSI
—
01
—
S207
HPUOV
—
Enumeration date
06/18/2006
Last updated
08/17/2018
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