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Organization

VOCA CORPORATION OF WEST VIRGINIA, INC.

Active
Other names
Clarksburg Home Care
Organization subpart
No

Provider details

NPI number
Authorized official
DEENA OMBRES (PRIVACY OFFICER)
(502) 394-2387
Entity
Organization

Contact information

Practice address
1618 BUCKHANNON PIKE, NUTTER FORT, WV 26301-4465
(304) 326-0140
Mailing address
9901 LINN STATION RD, LOUISVILLE, KY 40223-3808
(800) 866-0860

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
WV
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3810011259
WV
Enumeration date
09/22/2009
Last updated
01/20/2010
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