Organization
UNITEDCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EARL A MANNING (DIRECTOR)
(304) 534-8548
Entity
Organization
Contact information
Practice address
2048 V I P WAY, SUITE 3, FAIRMONT, WV 26554-8474
(304) 534-8548
(304) 534-8557
Mailing address
PO BOX 6230, WHEELING, WV 26003-0722
(304) 242-7106
(304) 242-7108
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
99JLT
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810019268
—
WV
Enumeration date
11/12/2010
Last updated
02/12/2014
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