Organization
VOCA CORPORATION OF WEST VIRGINIA, INC.
Active
Other names
8th Avenue Group Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY WHOBREY (PROVIDER ENROLLMENT)
(502) 630-7249
Entity
Organization
Contact information
Practice address
1519 8TH AVE, HUNTINGTON, WV 25701-2923
(304) 523-0177
(304) 523-0178
Mailing address
805 N WHITTINGTON PKWY, LOUISVILLE, KY 40222-7101
(502) 394-2100
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005258007
—
WV
Enumeration date
12/26/2006
Last updated
11/10/2021
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