RESCARE NPI 1750446738

NPI Information

RESCARE is an intermediate care facility mentally retarded in Fairmont, WV. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. RESCARE NPI is 1750446738. The provider is registered as an organization entity type.

The provider's business location address is:

1542 MARY LOU RETTON DR
FAIRMONT, WV
ZIP 26554-225
Phone: (304) 366-4415

The provider's authorized official is Kandi Shaffer .
The authorized official title is Executive Director and has the following contact phone number (304) 225-4550.

The CLIA number assigned to this NPI record is 51D1051261 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/27/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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