Healthcare Provider Details

I. General information

NPI: 1356650642
Provider Name (Legal Business Name): IN TOUCH AND CONCERNED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2010
Last Update Date: 10/04/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

693 FAIRMONT RD
WESTOVER WV
26501-4020
US

IV. Provider business mailing address

693 FAIRMONT ROAD
WESTOVER WV
26501-4020
US

V. Phone/Fax

Practice location:
  • Phone: 304-296-6109
  • Fax: 304-296-6169
Mailing address:
  • Phone: 304-296-6109
  • Fax: 304-296-6169

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number3810014020
License Number StateWV
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number3810015856
License Number StateWV

VIII. Authorized Official

Name: VALERIE HOSE ROMEC
Title or Position: EXECUTIVE DIRECTOR
Credential: LGSW
Phone: 304-296-6109