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
2345 CHESTERFIELD AVE, SUITE 201, CHARLESTON, WV 25304-1062
(304) 343-2047
(304) 343-2079
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
EXEMPT
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810005125
—
WV
Enumeration date
05/04/2006
Last updated
07/28/2016
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