National Provider Identifier Database

RSCR WEST VIRGINIA INC
Intermediate Care Facility, Mentally Retarded

(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.


Contact Information

RSCR WEST VIRGINIA, INC
26 DAVIS ST
PETERSBURG, WV26847-1535
Phone: 304-257-4474
Fax: 304-257-1936
Website:
Specialty Taxonomy Code
* Intermediate Care Facility, Mentally Retarded 315P00000X

* Indicates primary specialty

NPI Profile & details for RSCR WEST VIRGINIA, INC

NPI Number 1063576700
Legal business name
LBN
RSCR WEST VIRGINIA, INC
Authorized official DEENA OMBRES - (ASSOC. GEN. COUNSEL/PRIVACY OFFICER)
Entity Organization
Organization subpart No
Enumeration date 12/20/2006
Last updated 11/22/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • WV License #: 383
  • WV Medicaid: 0003322000

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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