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Home Base Inc.
Emotionally Disturbed Childrens' Residential Treatment Facility in Buckhannon, West Virginia
NPI 1326248048

Home Base Inc. is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Charleston, WV. Home Base Inc. practices in Buckhannon, WV. The NPI Number for Home Base Inc. is 1326248048 and holds a License No. 135 (West Virginia).

The current practice location address for Home Base Inc. is 1362 Mountain Ridge Rd, Buckhannon, WV and can be reached out via phone at 304-473-6826 and via fax at 304-472-8978.

Location: 1362 Mountain Ridge Rd, Buckhannon, WV, 25302-3356
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1326248048
Provider Name
Home Base Inc.
Credential
Provider Entity Type
Organization
Address
1362 Mountain Ridge Rd, Buckhannon, WV, 25302-3356
Phone Number
304-473-6826
Fax Number
304-472-8978
Provider Enumeration Date
07/20/2007
Last Update Date
08/17/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9435000000 05 WV
institution
Provider Business Practice Location Address Details
Address
1362 Mountain Ridge Rd
City
Buckhannon
State
West Virginia
Zip
26201-5117
Phone Number
304-473-6826
Fax Number
304-472-8978
person
Provider Business Mailing Address Details
Address
1362 Mountain Ridge Rd
City
Buckhannon
State
West Virginia
Zip
26201-5117
Phone Number
304-473-6826
Fax Number
304-472-8978
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
135 (West Virginia)
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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