NPI 1063576700

Rscr West Virginia, INC

Organisation Intellectual Disabilities Intermediate Care Facility Petersburg, WV

Practice location

Address: 26 Davis St, Petersburg, WV 26847-1535
Phone: (304) 257-4474
Fax: (304) 257-1936
Mailing address: 9901 Linn Station Rd, Louisville, KY 40223-3808

Authorised official

Name: Deena G. Ombres
Title: Assoc. Gen. Counsel/Privacy Officer
Phone: (502) 394-2387

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence 383 (WV)

Other Intermediate Care Facility, Intellectual Disabilities providers in West Virginia →

Registry record

NPI: 1063576700
Entity type: Organization
NPI issued: 20 Dec 2006
Record last updated: 22 Nov 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.