Healthcare Provider Details

I. General information

NPI: 1821319039
Provider Name (Legal Business Name): HAMPSHIRE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2010
Last Update Date: 06/22/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HC 63 BOX 2580
ROMNEY WV
26757-9718
US

IV. Provider business mailing address

2812 DINNER BELL FIVE FORKS RD
FARMINGTON PA
15437-1049
US

V. Phone/Fax

Practice location:
  • Phone: 304-822-7527
  • Fax: 304-822-7330
Mailing address:
  • Phone: 724-329-8289
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License NumberSLP-1249
License Number StateWV

VIII. Authorized Official

Name: ALICE MAY RISHEL
Title or Position: SPEECH THERAPIST
Credential: M.S.CCC,SLP
Phone: 724-984-3802