Organization
RSCR WEST VIRGINIA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEENA G. OMBRES ESQ. (ASSOCIATE GENERAL COUNSEL & PRIVACY)
(502) 394-2387
Entity
Organization
Contact information
Practice address
RR 6 BOX 454, BUCKHANNON, WV 26201-8839
(304) 472-5503
(304) 472-5503
Mailing address
9901 LINN STATION ROAD, LOUISVILLE, KY 40223
(502) 394-2100
(502) 394-2285
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
44
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0003179000
—
WV
Enumeration date
12/20/2006
Last updated
06/14/2011
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