Organization · Type 2 NPI
RSCR West Virginia, Inc
Intellectual Disabilities Intermediate Care Facility · Petersburg, WV
NPI number
1063576700
Active
Practice location
26 Davis St
Petersburg, WV 26847-1535
Fax (304) 257-1936
Mailing address
9901 Linn Station Rd
Louisville, KY 40223-3808
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 383 (WV) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
Another provider at this address
Other intellectual disabilities intermediate care facility providers in Petersburg
About NPI 1063576700
RSCR West Virginia, Inc's National Provider Identifier is 1063576700, issued on Dec 20, 2006. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Petersburg, WV. The record was last updated on Nov 22, 2011.