institution
Children's Home Society Of West Virginia
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Charleston, West Virginia
NPI 1972622835

Children's Home Society Of West Virginia is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Charleston, WV. Children's Home Society Of West Virginia practices in Charleston, WV. The NPI Number for Children's Home Society Of West Virginia is 1972622835 and holds a License No. 06GRR035 (West Virginia).

The current practice location address for Children's Home Society Of West Virginia is 1422 Kanawha Blvd E, Charleston, WV and can be reached out via phone at 304-346-0795 and via fax at 304-346-1062.

Location: 1422 Kanawha Blvd E, Charleston, WV, 25301-3002
institution
Provider Profile Details
NPI Number
1972622835
Provider Name
Children's Home Society Of West Virginia
Credential
Provider Entity Type
Organization
Address
1422 Kanawha Blvd E, Charleston, WV, 25301-3002
Phone Number
304-346-0795
Fax Number
304-346-1062
Provider Enumeration Date
03/29/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3810001039 05 WV
institution
Provider Business Practice Location Address Details
Address
1422 Kanawha Blvd E
City
State
Zip
25301-3002
Phone Number
304-346-0795
Fax Number
304-346-1062
person
Provider Business Mailing Address Details
Address
1422 Kanawha Blvd E
City
State
Zip
25301-3002
Phone Number
304-346-0795
Fax Number
304-346-1062
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
06GRR035 (West Virginia)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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