Organization
THE ARC OF THE THREE RIVERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HERSHEL FACEMYRE (EXECUTIVE DIRECTOR)
(304) 344-3403
Entity
Organization
Contact information
Practice address
1021 QUARRIER ST, SUITE 200, CHARLESTON, WV 25301-2338
(304) 344-3403
(304) 344-3417
Mailing address
1021 QUARRIER ST, SUITE 200, CHARLESTON, WV 25301-2338
(304) 344-3403
(304) 344-3417
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0003213000
—
WV
05
—
0003213001
—
WA
05
—
0003213003
—
WV
Enumeration date
09/30/2006
Last updated
08/22/2020
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