MEDICARE: REM WV, 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
1	315P00000X	Intellectual Disabilities Intermediate Care Facility

General Provider Information

NPI Number	:	1871259580
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REM WV, INC

Provider Business Mailing Address
First Line	:	300 WHARTON CIR STE 200
Second Line	:
City	:	TRIADELPHIA
State	:	WV
Zip	:	26059-1293
Country	:	US
Telephone Number	:	304-233-3474
Fax Number	:

Provider Business Practice Location Address
First Line	:	1519 8TH AVE
Second Line	:
City	:	HUNTINGTON
State	:	WV
Zip	:	25701-2923
Country	:	US
Telephone Number	:	304-233-3474
Fax Number	:

Authorized Official
Title or Position	:	AR ASSOCIATE
Name	:	SABRINA PARKER
Credential	:
Telephone Number	:	304-233-3474

Provider Enumeration Date	:	11/17/2021
Last Update Date	:	01/14/2026

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