Organization
VOCA CORPORATION OF WEST VIRGINIA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY WHOBREY (PROVIDER ENROLLMENT)
(502) 630-7249
Entity
Organization
Contact information
Practice address
7782 MOUNT CLARE RD, MOUNT CLARE, WV 26408-9786
(304) 623-6014
(304) 623-6092
Mailing address
805 N WHITTINGTON PKWY, LOUISVILLE, KY 40222-7101
(502) 394-2100
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
305
WV
Other
Enumeration date
12/21/2006
Last updated
01/08/2021
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