RESCARE WEST VIRGINIA INC NPI 1184787251

NPI Information

RESCARE WEST VIRGINIA, INC is an intermediate care facility mentally retarded in Martinsburg, WV. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. RESCARE WEST VIRGINIA, INC NPI is 1184787251. The provider is registered as an organization entity type.

The provider's business location address is:

201 S WATER ST
MARTINSBURG, WV
ZIP 25401-241
Phone: (304) 263-4601
Fax: (304) 263-5701

The provider's authorized official is Mark Landis .
The authorized official title is Executive Director and has the following contact phone number (540) 858-2572.

The CLIA number assigned to this NPI record is 51D2194093 - mobile laboratory with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/19/2006 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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