Healthcare Provider Details

I. General information

NPI: 1891983938
Provider Name (Legal Business Name): ABODE HEALTH CARE SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/12/2007
Last Update Date: 10/12/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3753 WINFIELD RD
WINFIELD WV
25213-9682
US

IV. Provider business mailing address

3753 WINFIELD RD
WINFIELD WV
25213-9682
US

V. Phone/Fax

Practice location:
  • Phone: 304-586-9441
  • Fax: 304-586-4114
Mailing address:
  • Phone: 304-586-9441
  • Fax: 304-586-4114

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number028647
License Number StateWV

VIII. Authorized Official

Name: MRS. EMILY CATHERINE STOVER
Title or Position: PRESIDENT
Credential: RN
Phone: 304-586-9441