| NPI | 1629101910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE B KELLY CEO 304-720-0205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: WV 90364) |
| Additional Taxonomies | 251E00000X Home Health (Licence: WV 2007-011,481) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-08-22 |