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NPI Code Detail

MEDICARE: WVUHS HOME CARE, LLC

MEDICARE: WVUHS HOME CARE, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1447920236
Entity Type Code : Organization
Provider Name (Legal Business Name) : WVUHS HOME CARE, LLC
Provider Business Mailing Address
First Line : 2673 DAVISSON RUN RD
Second Line :
City : CLARKSBURG
State : WV
Zip : 26301-6838
Country : US
Telephone Number : 304-624-2424
Fax Number : 304-622-9458
Provider Business Practice Location Address
First Line : 1952 NEW CREEK HWY
Second Line :
City : KEYSER
State : WV
Zip : 26726-7494
Country : US
Telephone Number : 304-597-3366
Fax Number : 304-597-1261
Authorized Official
Title or Position : CFO
Name : NICHOLAS BARCELLONA
Credential :
Telephone Number : 304-598-4655
Provider Enumeration Date : 09/14/2021
Last Update Date : 06/11/2024

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Directions to “WVUHS HOME CARE, LLC ” Practice Location

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