Organization
RUSSELL NESBITT SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHERRILYN FARKAS VANTASSEL J.D. (EXECUTIVE DIRECTOR)
(304) 232-0233
Entity
Organization
Contact information
Practice address
431 FULTON ST, WHEELING, WV 26003-6529
(304) 232-0233
(304) 232-1819
Mailing address
431 FULTON ST, WHEELING, WV 26003-6529
(304) 232-0233
(304) 232-1819
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
93
WV
251C00000X
Developmentally Disabled Services Day Training Agency
93
WV
251J00000X
Nursing Care Agency
93
WV
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
93
WV
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
93
WV
347C00000X
Private Vehicle
Primary
93
WV
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
93
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005252002
—
WV
05
—
0005452001
—
WV
05
—
0005452003
—
WV
Enumeration date
10/27/2006
Last updated
09/11/2025
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