HOSPICE OF SOUTHERN WV DBA PALLIATIVE CARE OF SOUTHERN WEST VIRGINIA NPI 1790224400

NPI Information

HOSPICE OF SOUTHERN WV DBA PALLIATIVE CARE OF SOUTHERN WEST VIRGINIA is a family nurse practitioner in Beckley, WV. HOSPICE OF SOUTHERN WV DBA PALLIATIVE CARE OF SOUTHERN WEST VIRGINIA NPI is 1790224400. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

456 CRANBERRY DR
BECKLEY, WV
ZIP 25801-560
Phone: (304) 255-6404
Fax: (304) 255-6494

The provider's authorized official is Janett Green .
The authorized official title is Chief Executive Officer and has the following contact phone number (304) 252-6404.

The enumeration date for this NPI number is 2/14/2017 and was last updated on 2/23/2017.

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

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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