Organization
ST. JOSEPH'S HOSPITAL HOME HEALTH AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUE E JOHNSON-PHILLIPPE FACHE (PRESIDENT & CHIEF EXECUTIVE OFFICER)
(304) 473-2118
Entity
Organization
Contact information
Practice address
1 AMALIA DR, BUCKHANNON, WV 26201-2276
(304) 473-2000
Mailing address
1 AMALIA DR, BUCKHANNON, WV 26201-2276
(304) 473-2000
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
87
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001139004
—
WV
Enumeration date
09/19/2006
Last updated
10/21/2023
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