Organization
WVVDHHR DIV. SURVEILLANCE & DISEASE CONTROL
Active
Other names
WV State Hemophilia Program
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORETTA E. HADDY PHD (DIVISION DIRECTYOR)
(404) 558-5358
Entity
Organization
Contact information
Practice address
350 CAPITOL ST, ROOM 125, CHARLESTON, WV 25301-1757
(304) 558-5358
(304) 558-6335
Mailing address
350 CAPITOL ST, ROOM 125, CHARLESTON, WV 25301-1757
(304) 558-5358
(304) 558-6335
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
NOT REQUIRED
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017402000
—
WV
Enumeration date
12/18/2006
Last updated
08/22/2020
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