Organization
REM WV, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT IAN COHEN (COO)
(800) 388-5150
Entity
Organization
Contact information
Practice address
170 PADUCAH DR, NEW MARTINSVILLE, WV 26155-2710
(304) 455-4804
(304) 455-3786
Mailing address
748 MCMECHEN ST, BENWOOD, WV 26031-1100
(304) 233-2141
(304) 233-3558
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0003549004
—
WV
Enumeration date
03/22/2007
Last updated
04/20/2023
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