Organization
INDIVIDUAL HOME CARE, INC.
Active
Parent organization
INDIVIDUAL HOME CARE, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
INDIVIDUAL HOME CARE, INC.
Authorized official
MARK ROMANO (OWNER/PRESIDENT)
(304) 872-2189
Entity
Organization
Contact information
Practice address
77 PUDDY RUN RD, SUMMERSVILLE, WV 26651
(304) 872-2189
(304) 872-2189
Mailing address
PO BOX 455, SUMMERSVILLE, WV 26651-0455
(304) 872-2189
(304) 872-2189
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
1046-9961
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0031070000
—
WV
Enumeration date
10/21/2009
Last updated
10/23/2009
Update your record
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