Organization
YOUR CHOICE HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VALARIE PHILLIPS (MEMBER MANAGER)
(304) 392-6270
Entity
Organization
Contact information
Practice address
530 GRAY GABLES RD, CRAWLEY, WV 24931
(304) 392-6270
(304) 392-6354
Mailing address
530 GRAY GABLES RD, CRAWLEY, WV 24931
(304) 392-6270
(304) 392-6354
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810003785
—
WV
05
—
3810003786
—
WV
Enumeration date
06/27/2007
Last updated
05/02/2008
Update your record
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