| NPI | 1104583863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM ECHIE DANKWAH CFO 304-932-7457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 164W00000X Licensed Practical Nurse | |
| 251E00000X Home Health | |
| 251J00000X Nursing Care | |
| 251S00000X Community/Behavioral Health | |
| 261QC1500X Clinic/Center Community Health | |
| 261QD1600X Clinic/Center Developmental Disabilities | |
| 261QH0100X Clinic/Center Health Service | |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
| 313M00000X Nursing Facility/Intermediate Care Facility | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2021-11-17 |
| Last Update Date | 2021-11-17 |