Organization
NORTHERN WV HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HEATHER WINEGARDNER RN (DIRECTOR)
(304) 788-1285
Entity
Organization
Contact information
Practice address
690 S MINERAL ST, KEYSER, WV 26726-2823
(304) 788-1285
(304) 788-2194
Mailing address
690 S MINERAL ST, KEYSER, WV 26726-2823
(304) 788-1285
(304) 788-2194
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1007-3456
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001170001
—
WV
05
—
0001377002
—
WV
05
—
0001781002
—
WV
Enumeration date
08/23/2007
Last updated
08/23/2007
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