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Potomac Comprehensive Diagnostic And Guidance Center Inc
Intellectual Disabilities Intermediate Care Facility in Romney, West Virginia
NPI 1619052750

Potomac Comprehensive Diagnostic And Guidance Center Inc is a Intellectual Disabilities Intermediate Care Facility based in Romney, WV. Potomac Comprehensive Diagnostic And Guidance Center Inc practices in Romney, WV. The NPI Number for Potomac Comprehensive Diagnostic And Guidance Center Inc is 1619052750 and holds a License No. WVDHHR30 (West Virginia).

The current practice location address for Potomac Comprehensive Diagnostic And Guidance Center Inc is One Blue Street, Romney, WV and can be reached out via phone at 304-822-3861 and via fax at 304-822-4297.

Location: One Blue Street, Romney, WV, 26757
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1619052750
Provider Name
Potomac Comprehensive Diagnostic And Guidance Center Inc
Credential
Provider Entity Type
Organization
Address
One Blue Street, Romney, WV, 26757
Phone Number
304-822-3861
Fax Number
304-822-4297
Provider Enumeration Date
10/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0003198000 05 WV
institution
Provider Business Practice Location Address Details
Address
One Blue Street
City
Romney
State
West Virginia
Zip
26757
Phone Number
304-822-3861
Fax Number
304-822-4297
person
Provider Business Mailing Address Details
Address
One Blue Street
City
Romney
State
West Virginia
Zip
26757
Phone Number
304-822-3861
Fax Number
304-822-4297
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
WVDHHR30 (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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institution
Potomac Comprehensive Diagnostic And Guidance Center Inc
NPI 1700961844
Intellectual Disabilities Intermediate Care Facility
One Blue Street,
ROMNEY, WV
26757
304-822-3861
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institution
Potomac Comprehensive Diagnostic And Guidance Center Inc
NPI 1154406296
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