Organization
HOUSE OF CAMPBELL, INC
Active
Other names
Willows Center
Organization subpart
No
Provider details
NPI number
Authorized official
JANE DROPESKEY (CORPORATE MANAGER)
(610) 925-4231
Entity
Organization
Contact information
Practice address
723 SUMMERS ST, PARKERSBURG, WV 26101-6022
(304) 428-5573
(304) 428-7784
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(610) 925-4436
(610) 925-4351
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
83
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000324438
MOUNTAIN STATE BC/BS
—
05
—
0003910000
—
WV
01
—
2507219
AETNA-HMO
—
01
—
281479
UNITED - MAMSI
—
Enumeration date
06/22/2006
Last updated
08/17/2018
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