Organization
WELLMONT HEALTH SYSTEM INC
Active
Other names
Commonwealth Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROL J KAWCHAK (INTERIM DIRECTOR)
(423) 230-8475
Entity
Organization
Contact information
Practice address
988 W MAIN ST, SUITE C, ABINGDON, VA 24210-2428
(276) 676-3138
(276) 676-0921
Mailing address
2971 FORT HENRY DR, KINGSPORT, TN 37664-4005
(423) 230-8443
(423) 845-7874
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4971035
—
VA
Enumeration date
11/14/2005
Last updated
08/22/2020
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