Organization
RESCARE WEST VIRGINIA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK LANDIS (EXECUTIVE DIRECTOR)
(540) 858-2572
Entity
Organization
Contact information
Practice address
1200 3RD ST, MARTINSBURG, WV 25401-4792
(304) 263-4742
(304) 596-2395
Mailing address
1200 3RD ST, MARTINSBURG, WV 25401-4792
(304) 263-4742
(304) 596-2395
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
331
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0003445000
—
WV
Enumeration date
12/26/2006
Last updated
08/22/2020
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