NPI 1124182092
Rescare West Virginia, Incorporated
Practice location
- Address
- 408 Fowler Ave, Clarksburg, WV 26301-3314
- Phone
- (304) 622-0844
- Fax
- (304) 622-0844
- Mailing address
- 1618 Buckhannon Pike, Nutter Fort, WV 26301-4465
Authorised official
- Name
- Jackie Canfield
- Title
- Executive Director
- Phone
- (304) 326-0140
Registered specialties
Intellectual Disabilities Intermediate Care Facility
Primary
Registry record
- NPI
- 1124182092
- Entity type
- Organization
- NPI issued
- 21 Dec 2006
- Record last updated
- 22 Aug 2020
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.