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Organization

HOSPICE OF SOUTHERN WEST VIRGINIA, INC

Active
Other names
Palliative Care of Southern West Virginia
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JANETT GREEN (EXECUTIVE DIRECTOR)
(304) 255-6404
Entity
Organization

Contact information

Practice address
456 CRANBERRY DR, BECKLEY, WV 25801-8560
(304) 255-6404
(304) 255-6494
Mailing address
PO BOX 1472, BECKLEY, WV 25802-1472
(304) 255-6404
(304) 255-6494

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
6
WV
315D00000X
Inpatient Hospice
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0005593000
WV
Enumeration date
10/02/2006
Last updated
05/17/2016
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