Healthcare Provider Details

I. General information

NPI: 1336541457
Provider Name (Legal Business Name): RITCHIE CO. INTEGRATED FAMILY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2014
Last Update Date: 09/19/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

521 S. COURT ST.
HARRISVILLE WV
26362
US

IV. Provider business mailing address

521 S. COURT ST.
HARRISVILLE WV
26362
US

V. Phone/Fax

Practice location:
  • Phone: 304-643-4941
  • Fax: 304-643-4936
Mailing address:
  • Phone: 304-643-4941
  • Fax: 304-643-4936

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number0030756001
License Number StateWV

VIII. Authorized Official

Name: MRS. LEE JONES
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 304-643-4941