Organization
RESCARE
Active
Other names
VOCA of WV
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE HENDRICKS (SENIOR REGIONAL DIRECTOR)
(304) 344-5795
Entity
Organization
Contact information
Practice address
1207 QUARRIER ST, SUITE 304, CHARLESTON, WV 25301-1826
(304) 344-5795
(304) 344-5747
Mailing address
1207 QUARRIER ST, SUITE 304, CHARLESTON, WV 25301-1826
(304) 344-5795
(304) 344-5747
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005258001
—
WV
Enumeration date
12/29/2006
Last updated
08/22/2020
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