Organization
NURSING CARE - HOME HEALTH AGENCY, INC.
Active
Other names
CenterWell Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN NICHOLS (AUTHORIZED SIGNATORY)
(304) 855-7104
Entity
Organization
Contact information
Practice address
46 FRIENDLY NEIGHBOR DRIVE, CHAPMANVILLE, WV 25508-2550
(304) 855-7104
Mailing address
6330 SPRINT PKWY STE 300, OVERLAND PARK, KS 66211-1157
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005060000
—
WV
01
—
047312000
DEPT OF LABOR
—
01
—
1023698
WORKERS COMP
—
05
—
5060000
—
WV
Enumeration date
12/02/2005
Last updated
09/06/2022
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