Organization
AMEDISYS WEST VIRGINIA, L.L.C.
Active
Other names
Amedisys Home Health of West Virginia
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL KUSSEROW (PRESIDENT)
(225) 292-2031
Entity
Organization
Contact information
Practice address
5447 MAPLE LN, SUITE A, FAYETTEVILLE, WV 25840-6872
(304) 574-1141
(304) 574-1151
Mailing address
3854 AMERICAN WAY, SUITE A, BATON ROUGE, LA 70816-4013
(225) 292-2031
(225) 295-9678
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810008960
—
WV
Enumeration date
06/08/2007
Last updated
07/28/2016
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