Organization
CITY OF SISTERSVILLE
Active
Parent organization
CITY OF SISTERSVILLE
Other names
Journey Hospice
Organization subpart
Yes
Provider details
NPI number
Legal business name
CITY OF SISTERSVILLE
Authorized official
BRANDON W CHADOCK (AO)
(304) 652-2611
Entity
Organization
Contact information
Practice address
314 SOUTH WELLS STREET, SISTERSVILLE, WV 26175
(304) 652-2611
(304) 652-1448
Mailing address
314 S WELLS ST, SISTERSVILLE, WV 26175-1098
(304) 652-2611
(304) 652-1448
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
9
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005181001
—
WV
Enumeration date
09/11/2006
Last updated
10/21/2020
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