institution
Rscr West Virginia, Inc
Intellectual Disabilities Intermediate Care Facility in Petersburg, West Virginia
NPI 1063576700

Rscr West Virginia, Inc is a Intellectual Disabilities Intermediate Care Facility based in Louisville, WV. Rscr West Virginia, Inc practices in Petersburg, WV. The NPI Number for Rscr West Virginia, Inc is 1063576700 and holds a License No. 383 (West Virginia).

The current practice location address for Rscr West Virginia, Inc is 26 Davis St, Petersburg, WV and can be reached out via phone at 304-257-4474 and via fax at 304-257-1936.

Location: 26 Davis St, Petersburg, WV, 40223-3808
institution
Provider Profile Details
NPI Number
1063576700
Provider Name
Rscr West Virginia, Inc
Credential
Provider Entity Type
Organization
Address
26 Davis St, Petersburg, WV, 40223-3808
Phone Number
304-257-4474
Fax Number
304-257-1936
Provider Enumeration Date
12/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0003322000 05 WV
institution
Provider Business Practice Location Address Details
Address
26 Davis St
City
State
Zip
26847-1535
Phone Number
304-257-4474
Fax Number
304-257-1936
person
Provider Business Mailing Address Details
Address
26 Davis St
City
State
Zip
26847-1535
Phone Number
304-257-4474
Fax Number
304-257-1936
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
License No.
383 (West Virginia)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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