; NPI #1023607116

Contact Information

BREONNA DILLON

1610 MAIN HEWETTS CREEK ROAD
LAKE, WV 25121

Phone: 304-946-0100
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Respite Care	385H00000X

Indicates primary specialty

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NPI Profile & details for

NPI #	`1023607116`
Entity	Organization
Organization subpart ¹	Not specified
Enumeration date	01/13/2021
Last updated	01/13/2021 - About 5 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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Specialty

Respite Care

NPI Profile & details for

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