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General NPI Number Information
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NPI Number | 1376607572
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Entity Type | Organization
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Legal Business Name | RESCARE, INC
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Dates
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Enumeration Date | 12/21/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 300 RUFFNER AVE
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City | CHARLESTON
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State | WV
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Zip | 25311-2504
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Country | US
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Telephone | 304-341-0242
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Fax | 304-341-0237
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Provider Business Mailing Address
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Address Line | 1207 QUARRIER ST SUITE 305
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City | CHARLESTON
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State | WV
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Zip | 25301-1826
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Country | US
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Telephone | 304-342-5839
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Fax | 304-342-9152
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. JOHN R FRANCIS
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Credential |
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Telephone | 304-342-5839
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 315P00000X
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Taxonomy Name | Intellectual Disabilities Intermediate Care Facility
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License Number | 315
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License Number State | WV
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