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NPI Code Detail

MEDICARE: REM COMMUNITY OPTIONS INC

MEDICARE: REM COMMUNITY OPTIONS INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health AgencyWV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1093973968
Entity Type Code : Organization
Provider Name (Legal Business Name) : REM COMMUNITY OPTIONS INC
Provider Business Mailing Address
First Line : 748 MCMECHEN ST
Second Line :
City : BENWOOD
State : WV
Zip : 26031-1100
Country : US
Telephone Number : 304-233-3474
Fax Number : 304-233-3558
Provider Business Practice Location Address
First Line : 748 MCMECHEN ST
Second Line :
City : BENWOOD
State : WV
Zip : 26031-1100
Country : US
Telephone Number : 304-233-3474
Fax Number : 304-233-3558
Authorized Official
Title or Position : COO
Name : BRETT IAN COHEN
Credential :
Telephone Number : 800-388-5150
Provider Enumeration Date : 05/28/2008
Last Update Date : 04/18/2023

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Directions to “REM COMMUNITY OPTIONS INC ” Practice Location

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